Credit Application

In order to assist you in a timely manner please fill out all the required fields of the credit application and any other details which pertain to you. A lease specialist will contact you with approval and price information. AlphaAutoNY.com is a positive SSL secured website. Before proceeding with the interactive application, please read the Privacy Policy. If you don’t agree to the terms, please do not continue.

Submit a Credit Application

Please select the type of application you would like to submit:

Personal

Business

Select Individual or Joint (co-applicant):

Individual Application

Joint Application (co-signer)

Your Sales Associate:

Select Dmitry Vitaly Igal Eugene Daniel Jose Mitchell I'm not sure

Desired Vehicle Make:

e.g., Acura, Lexus, Nissan

Desired Vehicle Model:

e.g., C300, 328i, A4

Desired Annual Mileage:

e.g., 10,000 per year

Monthly Budget:

e.g., $250 per month

APPLICANT - PERSONAL INFORMATION (PRINCIPAL DRIVER OF VEHICLE)

First Name:*

Middle Name:

Last Name:*

Date of Birth:*

Month Month 1 2 3 4 5 6 7 8 9 10 11 12 Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Social Security #:*

Email Address:*

Street Address:*

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

How long have you lived here?*

Own or Rent?*

Own/Buying Rent/Lease Live With Relative Other Please Select One

Monthly Payment:*

Home Phone:*

Mortgage Co. / Landlord Name:

If you have lived at your current address for less than 2 years, please enter your previous address into the fields below.

Previous Address:

City:

State:

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

APPLICANT - EMPLOYMENT INFORMATION

Employer Name: *

Position/Title:*

How long employed here?*

Work Phone:*

Gross Annual Salary:*

Other Income Source:

e.g., rental property, spouse

Annual Amount:

Employer Address:*

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

If you have been at your current employer for less than 2 years, please enter your previous employer into the fields below.

Previous Employer or School:

Position/Title:

How Long?

Gross Annual Salary:

CO-SIGNER - PERSONAL INFORMATION

First Name:*

Middle Name:

Last Name:*

Date of Birth: *

Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

Social Security Number:*

Email Address:*

Street Address:*

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

How long have you lived here?*

Own or Rent?*

Own/Buying Rent/Lease Live With Relative Other Please Select One

Monthly Payment:*

Home Phone:*

Mortgage Co. / Landlord Name:

If you have lived at your current address for less than 2 years, please enter your previous address into the fields below.

Previous Address:

City:

State:

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

CO-SIGNER - EMPLOYMENT INFORMATION

Employer Name:*

Position/Title:*

How long employed here?*

Work Phone:*

Gross Annual Salary:*

Other Income Source:

e.g., rental property, spouse

Annual Amount:

Employer Address:*

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

If you have been at your current employer for less than 2 years, please enter your previous employer into the fields below.

Previous Employer or School:

Position/Title:

How long employed here?

Gross Annual Salary:

APPLICANT - BUSINESS INFORMATION

Business Name: *

Tax ID Number: *

Street Address: *

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

How long in business? *

Own or Rent?*

Please Select One Own/Buying Rent/Lease

Monthly Payment:*

If you have lived at your current address for less than 2 years, please enter your previous address into the fields below.

Previous Address:

City:

State:

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

APPLICANT - BANK INFORMATION

Name of Bank:

Branch Address:

Account Number:

Contact Person:

Bank Phone:

GUARANTOR - PERSONAL INFORMATION

First Name:*

Middle Name:

Last Name:*

Date of Birth:*

Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

Social Security Number:*

Street Address:*

City:*

State:*

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

How long have you lived here?*

Own or Rent?*

Own/Buying Rent/Lease Live With Relative Other Please Select One

Monthly Payment:*

Home Phone:*

Mortgage Co. / Landlord Name:

Mortgage Amount:

If you have lived at your current address for less than 2 years, please enter your previous address into the fields below.

Previous Address:

City:

State:

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

GUARANTOR - EMPLOYMENT INFORMATION

Employer Name: *

Position/Title:*

How long employed here?*

Work Phone:*

Gross Annual Salary:*

Other Income Source:

Annual Amount:

Employer Address:*

City:*

State:

Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:*

If you have been at your current employer for less than 2 years, please enter your previous employer into the fields below.

Previous Employer or School:

Position/Title:

How Long?

Gross Annual Salary:

APPLICATION - SIGNATURE AND COMPLIANCE

Privacy Policy:

IN CONNECTION WITH YOUR TRANSACTION ALPHAAUTONY.COM AND ALL ITS AFFILIATES MAY OBTAIN INFORMATION ABOUT YOU AS DESCRIBED IN THIS NOTICE. 1. WE COLLECT NONPUBLIC PERSONAL INFORMATION ABOUT YOU FROM THE FOLLOWING SOURCES: * INFORMATION WE RECEIVED FROM YOU ON APPLICATIONS OR OTHER FORMS * INFORMATION ABOUT YOUR TRANSACTIONS WITH US, OUR AFFILIATES OR OTHERS, AND * INFORMATION WE RECEIVE FROM A CONSUMER AGENCY 2. WE MAY DISCLOSE ALL OF THE INFORMATION WE COLLECT AS DESCRIBED ABOVE TO COMPANIES THAT PERFORM MARKETING SERVICES ON OUR BEHALF OR TO OTHER FINANCIAL INSTITUTIONS WITH WHOM WE HAVE JOINT MARKETING AGREEMENTS. WE MAKE SUCH DISCLOSURES ABOUT YOU AS A CONSUMER, CUSTOMER, OR FORMER CUSTOMER. 3. WE MAY ALSO DISCLOSE NONPUBLIC PERSONAL INFORMATION ABOUT YOU AS CONSUMER, CUSTOMER, OR FORMER CUSTOMER TO NON-AFFILIATED THIRD PARTIES AS PERMITTED BY LAW. 4. WE RESTRICT ACCESS TO NONPUBLIC PERSONAL INFORMATION ABOUT YOU TO THOSE EMPLOYEES WHO NEED TO KNOW THAT INFORMATION TO PROVIDE PRODUCTS OR SERVICES TO YOU. WE MAINTAIN PHYSICAL, ELECTRONIC AND PROCEDURAL SAFEGUARDS THAT COMPLY WITH FEDERAL REGULATIONS OR GUARD YOUR NONPUBLIC PERSONAL INFORMATION. I, THE UNDERSIGNED, HEREBY AUTHORIZE ALPHAAUTONY.COM AND ITS AFFILIATES (COLLECTIVELY "PROSPECTIVE CREDITORS") TO VERIFY CREDIT AND EMPLOYMENT HISTORY AS STATED ABOVE AND TO ANSWER QUESTIONS ABOUT CREDIT EXPERIENCE WITH ME. IF THIS APPLICATION IS MADE PURSUANT TO ANY CREDIT PROGRAM FOR ATTENDEES AND/OR GRADUATES OF SCHOOLS OR EDUCATIONAL OR EDUCATIONAL INSTITUTION(S), THEN PROSPECTIVE CREDITORS MAY VERIFY MY ELIGIBILITY FOR SUCH PROGRAM, INCLUDING BY INQUIRY TO MY SCHOOL(S) OR EDUCATIONAL INSTITUTION(S). INSURANCE RELATED TO THE CREDIT FOR WHICH I AM APPLYING MAY BE PURCHASED FROM AN INSURER OR AGENT OF MY CHOICE WHO MEETS PROSPECTIVE CREDITOR STANDARDS. IN CONNECTION WITH THIS APPLICATION FOR CREDIT, PROSPECTIVE CREDITORS MAY REQUEST A CONSUMER (CREDIT) REPORT. I AUTHORIZE PROSPECTIVE CREDITORS TO ASK MY PAST AND CURRENT CREDITORS ("CREDIT REFERENCES"), INCLUDING CREDITORS LISTED ABOVE OR ON MY CONSUMER (CREDIT) REPORT, ABOUT MY CREDIT PERFORMANCE WITH THEM. PROVISION BY PROSPECTIVE CREDITORS OF A COPY OF THIS AUTHORIZATION SHALL SERVE AS MY DIRECTION THAT MY CREDIT REFERENCES PROVIDE MY CREDIT PERFORMANCE INFORMATION. EVERYTHING THAT I HAVE STATED IN THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT PROSPECTIVE CREDITORS WILL RETAIN THIS APPLICATION WHETHER OR NOT IT IS APPROVED. I WILL NOTIFY PROSPECTIVE CREDITORS, IF APPLICABLE, WITHIN A REASONABLE TIME OF ANY CHANGE IN MY NAME, ADDRESS OR EMPLOYMENT.

CUSTOMER ACKNOWLEDGMENT:*

I (we) acknowledge that I (we) agree to the terms and conditions set forth on the date indicated below.

Applicant Electronic Signature:*

Co-Signer Electronic Signature:*

Upload Primary Applicant's License

Browse...

Maximum size 5MB

Upload Co-Applicant's License

Browse...

Maximum size 5MB

Type the characters*

This field should be left blank

Submit Application

Please wait...