Credit Application

Page 1

1 Tell us about yourself
2 See Pre-qualification status
Personal Info
Contact Info
Vehicle

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Premier Chrysler Dodge Jeep Ram Lamesa under the Fair Credit Reporting Act authorizing Premier Chrysler Dodge Jeep Ram Lamesa to obtain your personal consumer report from one or more credit reporting agencies. You authorize Premier Chrysler Dodge Jeep Ram Lamesa to obtain such information solely to conduct a prequalification for credit.