Apply for Credit | Dieters Motors

About you

Legal name and ID details lenders use to verify your application.

First name *

Last name *

Email address *

Birth date

Social security number *

Used only for the lender credit check. Sent over an encrypted connection, never shown on the site or shared outside the lender submission.

Drivers license number

Where you live now

Current mailing address and the best phone to reach you.

Street address *

City / town *

State *

ZIP code *

How long at current address *

Mobile or home phone

Previous address

Only needed if you have been at your current address less than three years.

Address

City / town

State

ZIP code

How long at this address

Income and employment

Helps lenders estimate what you can comfortably pay.

Employment status *

Occupation title

Present employer *

Work phone *

How long *

Employer address

City / town

State

ZIP code

Previous employer (to cover 5 years)

How long previous

Monthly income *

Housing, vehicle and sign-off

Rent or own, monthly housing cost, and the car you are interested in.

Rent or own your home? *

Monthly rent or mortgage *

Salesperson *

Sign with your full legal name *

Vehicle you are interested in

Anything else we should know?

I agree to the terms of service. By signing this document you agree to the following: I certify that the information I have provided on this application is, to the best of my knowledge, complete and accurate. I have read the privacy policy and terms of use and authorize that my credit report is obtained. I am 18 years of age or older with a valid driver’s license. I understand that financial institution(s) will rely on this information to judge my creditworthiness, and will retain this application and information about me whether or not this application is approved. Further, I authorize an investigation of my credit and employment history, in conjunction with which my credit report(s) may be obtained from one or more consumer credit reporting agencies. I understand that false statements may subject me to criminal penalties. I further understand that the Dealer and/or the financial institution(s) that evaluate my application may require additional information. FAIR CREDIT REPORTING ACT DISCLOSURE: I/We understand that this application for credit will be submitted by the Dealer to various financial institutions for evaluation.

Quick human check: 5 + 7 = ? *

Helps keep automated spam out. Not a full captcha service.

Sent over an encrypted connection and reviewed by us before it goes to any lender.

Financing pre-approval