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Parc Autohaus LLC • Federal Way, WA

1. Applicant Information

Primary borrower personal contact details

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Social Security Number (SSN / ITIN) *Encrypted & kept strictly confidential

Marital Status

2. Residential Information

Current living address and housing details

Street Address *

Apt / Suite

City *

State *

ZIP Code *

Housing Status *

Monthly Rent/Mortgage ($) *

Years at Address *

3. Employment & Income

Financial capability and current occupation

Employment Status *

Employer Name *

Job Title / Position *

Gross Monthly Income ($) *Before taxes and deductions

Years on Job *

Other Monthly Income ($)

4. Vehicle & Loan Preference

Details regarding the vehicle and your budget

Vehicle of Interest

Estimated Down Payment ($) *

Estimated Credit Score Tier

5. Legal Disclosures & Signature

Credit bureau authorization and electronic signature

Credit Check Authorization (FCRA): I authorize Parc Autohaus LLC and its lending partners to obtain my consumer credit report from one or more credit reporting agencies in connection with this application.Accuracy Certification: I certify that all statements and information provided in this application are true, correct, and complete to the best of my knowledge.

Electronic Signature (Full Legal Name) *By typing your name, you acknowledge this constitutes an official legal signature under the ESIGN Act.

Parc Autohaus LLC • 32000 Pacific Hwy S, Federal Way, WA • (253) 422-2178

Equal Housing & Credit Opportunity