Application – Next Car Leasing

24 Hours / 7 Days a Week
2801 Emmons Ave Suite 106, Brooklyn, NY 11235

(718) 212-6000

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Home
Used Cars
Lease Specials
Application
Contact

24 Hours / 7 Days a Week
2801 Emmons Ave Suite 106, Brooklyn, NY 11235

Application

Next Car Leasing > Application

Borrower Information

First Name M. Last Name

Cosigner Name

Address

City State Zip

Phone Email

Fax

SSN

Birthdate Driver's Licence # Driver's Licence Expiration Date

Driver's Licence State

Residence Information

Residence Type

Own Home with MortgageOwn Home without MortgageRentLive with RelativeOther

Time at Residence - Years Time at Residence - Months Mortgage/Rent $ per month

If you have lived at your current residence less than 5 years, please enter your prior address

Which accounts are in your name?

UtilitiesSavingsCheckingPhone

Borrower Employment Information

Employer Name

Employer Address

Employer City Employer State Employer Zip

Business Phone Occupation

Time on Job - Years Time on Job - Months

Salary $ / per month Other Income $ / per month

Loan Information

Desired Loan Amount $ Desired Monthly Payment $

Vehicle Information

Make Model Year Mileage

Trade-In Information

Trade-In Make Trade-In Model Trade-In Year Trade-In Mileage

Comments

Down Payment

Down Payment Amount $

Consent

Credit Authorization Consent

I certify that all information provided in this application is true and complete. I authorize lending institutions and this auto dealer to retain this application and to check and verify my credit, employment, and salary history. I understand that by submitting this application, I am authorizing this dealership to check my credit.

Borrower Signature

Borrower Signature

Please use your finger, mouse, or touchpad to sign inside the white signature box.

Sign Here

Service Hours:
Available 24/7
24 Hours a Day, 7 Days a Week
For inquiries, appointments, and leasing assistance

Our Location:
2801 Emmons Ave,
Suite 106
Brooklyn,
NY 11235, USA

Contact Information:
Phone: (718) 212-6000
Fax: (718) 646-9601
Email: nextny01@gmail.com

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