Spring Chrysler Jeep Dodge
21027 N IH 45, Exit 70a, Houston, TX 77388
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Credit Application
Applicant Information
* First Name:
^[a-zA-Z\s]*$==A-Z, a-z, or space only, max: 50
6258
MI:
^[a-zA-Z\s]*$==Ex: "A"
6259
* Last Name:
^[a-zA-Z\s]*$==A-Z, a-z, or space only, max: 50
6260
* Email Address:
^[a-zA-Z0-9\-][a-zA-Z0-9\._%\-\+]*@[\-a-zA-Z0-9]+(\.[\-a-zA-Z0-9]+)*\.([cC][oO][mM]|[eE][dD][uU]|[iI][nN][fF][oO]|[gG][oO][vV]|[iI][nN][tT]|[mM][iI][lL]|[nN][eE][tT]|[oO][rR][gG]|[bB][iI][zZ]|[nN][aA][mM][eE]|[mM][uU][sS][eE][uU][mM]|[cC][oO]{2}[pP]|[aA][eE][rR][oO]|[pP][rR][oO]|[a-zA-Z]{2})$==Ex: john.doe@email.com
6261
* Home Phone:
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6262
Cell Phone:
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6263
Work Phone:
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6264
* Date of Birth:
mo...
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
6265
day...
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6266
year...
2010
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1910
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1907
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1904
1903
1902
1901
1900
6267
* Street Address:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6268
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6269
* City:
^[a-zA-Z\s]*$==A-Z, a-z, or space only, max: 50
6270
state...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
6271
* Zip:
^(\d{5})([- ]{0,1}\d{4})?$==Ex: 77069
or 77069-1234
6272
* SSN:
^(\d{9}|\d{3}\-\d{2}\-\d{4})$==Ex: 123-45-6789
6273
* Drivers License:
^[\w|\d]*$==A-Z, a-z, 0-9, or space only, max: 25
6274
state...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
6275
Time at Current Residence:
yrs...
1
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100
6276
mo...
1
2
3
4
5
6
7
8
9
10
11
6277
* Rent/Own:
rent/own...
Lease/Rent
Own Home
Buying Home
Live with Relative
Own/Buying Mobile Home
6278
* Landlord or Mortgage Holder:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6279
* Monthly Housing Payment:
^(\$)?(\d{3,5}|\d{1,2},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6280
Employment Information
* Employer:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6281
Job Description:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6282
* Employer Phone:
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6283
* Employer City:
^[a-zA-Z\s]*$==A-Z, a-z, or space only, max: 50
6284
state...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
6285
* Years with Company:
yrs...
1
2
3
4
5
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84
85
86
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88
89
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91
92
93
94
95
96
97
98
99
100
6286
* Income Before Tax:
^(\$)?(\d{3,5}|\d{1,2},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6287
period...
Weekly
Monthly
Yearly
6288
Additional Source of Income:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6289
Amount
^(\$)?(\d{3,6}|\d{1,3},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6290
period...
Weekly
Monthly
Yearly
6291
Previous Employer:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6292
Previous Employer City:
^[a-zA-Z\s]*$==A-Z, a-z, or space only, max: 50
6293
state...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
6294
Financial Information
* Bank:
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6295
* Account Type:
account type...
Checking and Savings
Checking Only
Savings Only
No Account
6296
* Ever had a vehicle repossessed?
y/n...
Yes
No
6297
If so, when (mm/yy)?
^['\-,\.#/\w\s\d\$]*$==Ex: mm/yy
6298
* Have you filed for bankruptcy?
y/n...
Yes
No
6299
If so, when (mm/yy)?
^['\-,\.#/\w\s\d\$]*$==Ex: mm/yy
6300
Credit Information
Creditor's Name City/State
Date Opened
(mm/yy)
Monthly Payment
Unpaid Balance
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6301
^(10|11|12|[0]{0,1}\d)/([19|20]?\d{2})$==Ex: mm/yy
6302
^(\$)?(\d{3,6}|\d{1,3},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6303
^(\$)?(\d{3,6}|\d{1,3},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6304
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 50
6305
^(10|11|12|[0]{0,1}\d)/([19|20]?\d{2})$==Ex: mm/yy
6306
^(\$)?(\d{3,6}|\d{1,3},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6307
^(\$)?(\d{3,6}|\d{1,3},\d{3})(\.00)?$==Ex: $100 or 99,999.00
6308
Reference Information
Name and Address of Nearest Friend/Relative
(Not in Household)
Phone Number
Relationship
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 100
6309
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6310
^['\-,\.#/\w\s\d\$]*$==Ex: "Father In-Law"
6311
^['\-,\.#/\w\s\d\$]*$==Alphanumeric, space or '-,.#/ Max: 100
6312
^((\(\d{3}\)|\d{3})[- ]{0,1}\d{3}[- ]{0,1}\d{4}([\s]{0,1}(x{1}|\bext[.]{0,1})[\s]{0,1}\d{2,6}){0,1}){0,1}$==Ex: (281) 321-1234
6313
^['\-,\.#/\w\s\d\$]*$==Ex: "Father In-Law"
6314
Authorization
* I ACCEPT TERMS AND CONDITIONS - By submitting this application, I verify that the information provided is complete and accurate.
I authorize an investigation of my credit and employment.
6315
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21027 N IH 45, Exit 70a, Houston, TX 77388
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