92 Danbury Rd
RidgefieldCT 06877
| Driving directions
Marty Motors Inc
| (203) 438-0485
Application for Credit
We specialize in auto finance. Our multiple finance sources and experience in financing is unparalleled. With an excellent credit history you can be assured of the best rates in the market.

NO CREDIT – BAD CREDIT??? NO PROBLEM!!!

Bad things happen to good people and we understand that. Our special finance officers are well-equipped to make sure you drive away in a choice car. Call (203) 438-0485 or complete the form below and one of our expert finance managers will contact you right away!


*Denotes a required field.
Personal Information
SSN  
First Name*  
Middle Name
Last Name*  
Suffix
Date of Birth*  
Gender*  
Current Address
Street #*  
Street Direction
Street Name*  
Street Type*  
Apartment #
City*  
State*  
Country*  
Zip*  
Length of stay*  
Contact Information
Home #*  
Work #*   x
Cell #  
E-mail  
Employment Information
Time at Job*  
Gross Income $*  
Frequency of Income*  
Current Residence
Type of Residence
Monthly Payments $
Name of Landlord
Landlord's Phone #  
Current Employment
Name of Employer
Phone
Address 1
Address 2
City
State
Country
Zip  
Type of Work
Additional Income
Source of
Additional Income
Frequency of
Additional Income
Self-employed ?
Driver's License Information
Driver's License/Other ID #
 
State Issued
Additional Information
Bank Name Account Type
Have you ever had a car /
other merchandise repossessed?
Have you ever filed bankruptcy? If Yes, When?  
Vehicle you are interested in
Year Make Model
Color Choice
Exterior 1) 2) 3)
Interior 1) 2) 3)
Desired Monthly Payment  $
Do you own a vehicle?
How did you hear about us?
Down Payment
Downpayment available  $     Comments
Trade-In Information
Year Make Model Mileage Color
Bank Financed? Balance Owed  $ Current Payment  $

* "I represent, warrant and affirm that the above information is true and correct and have been made in order to induce you, the dealer, to grant me credit to acquire a vehicle by relying on the above knowledge. By submitting this form I authorize you, the dealer, to verify the correctness of the information by verifying my employment and residence and also to acquire other reports, including but not limited to credit bureau reports, to analyze my credit worthiness. I authorize you to retain this application and any credit agreement as your property."
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