Financing From Southeast Auto Brokers

Here at Southeastern Auto Brokers we have several financing options available regardless of your past credit.  We understand that everyone's situation is different and unique so we have teamed up with a variety of lenders to get you the best rate and the longest possible terms for financing.  We have programs for first time buyers, "credit challenged" customers, and military.  Please take time out and try to FILL OUT THE FORM BELOW ACCURATELY AND COMPLETELY.  As a security measure to our customers we have left out a place for your SOCIAL SECURITY NUMBER.  Please E-MAIL your SOCIAL SECURITY NUMBER along with your HIRE DATE and the DATE YOU MOVED IN YOUR CURRENT RESIDENCE to me at sales@SEautobrokers.com  Thank you for your interest and someone will be with you shortly to discuss the terms of your pre-approval.

*Lot:

Applicant Information

First Name: Middle Initial:
Last Name: Address:
City: State:
Zip Code: Home Phone:
Date of Birth:
Email Address: Cell Phone:
Drivers License Num: Own or Rent:
Length at Address (Years): Monthly Payment:
Employment Information
Employer: Position/Title:
Salary/Wages: Business Address:
City: State:
Zip Code: Phone:
How Long at Employer:
Previous Employment Information
Previous Employer: Position/Title:
Salary/Wages: Business Address:
City: State:
Zip Code: Phone:
* Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis of repayment for this debt.
Other Income Sources: Gross Monthly Income:
How Long:    

Vehicle Information

Down Payment: Desired Monthly Payment:
Vehicle of Interest:
State-Required Disclosures


CALIFORNIA RESIDENTS: A married applicant may apply for an individual account.

MAINE RESIDENTS: Consumer reports (credit reports) may be obtained in connection with this application.

If you request, the creditor will inform you: (1) whether or not consumer reports were obtained, and (2) if reports were obtained, the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports. You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer must be approved by the creditor.

NEW YORK RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals, extensions or enforcement of any credit granted as a result of this application. Upon your request, the creditor will inform you whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report.

OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

RHODE ISLAND RESIDENTS: A consumer credit report may be requested in connection with this application.

VERMONT RESIDENTS: I authorize the creditor to obtain credit reports on an ongoing basis about me from credit reporting agencies in connection with this extension of credit transaction. The creditor may obtain credit reports about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: (1) reviewing the account; (2) increasing the credit line on the account; (3) taking collection action on the account; or, (4) any other legitimate purposes associated with the account.

WASHINGTON RESIDENTS: Please advise us if the creditor should investigate your credit references and/or credit history under another name.

MARRIED WISCONSIN RESIDENTS: No provision of a marital property agreement, a unilateral settlement agreement under Wis. Stat. 766.59, or a court decree under Wis. Stat. 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision



By submitting this electronic form I certify that everything stated in this application is correct. I authorize , its agents, assigns, and other financial institutions to check my credit and employment history and to answer questions others may ask about my credit record with the lender. I understand that I must update credit information at the Lender's request if my financial condition changes. I have also read and understand the disclosures specific to my state of residency.
I Agree