Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you ever declared Bankruptcy in the past? *

No

Yes

Once your credit is approved, your sales consultant will go over your exact car, payment structure and get a final confirmation from you to get your car ready for delivery. If you change your mind after giving your final confirmation and decide *NOT* to lease/purchase a car from our company, you will be charged $595.00, payable to Elit Los Angeles, Inc. This fee is *not* charged if you lease/buy a car from our company. *

I AGREE

I, the main applicant, and/or co-applicant agree that the information inputted above on this credit application is entered truthfully. I, the main applicant, and/or co-applicant authorize Elit Los Angeles, Inc to submit my credit application to the dealer/finance company to continue the lease/purchase process. You may receive a call from the Finance Department for further verification. Your typed electronic signature (below) serves as your agreement to this term. *

I AGREE

Electronic Signature Date *

MM

DD

YYYY