Maple Shade
Sales and Leasing, L.L.C.
Call 856-779-7200
Apply Now
Personal Information
 Individual
 Joint
 Co-Signer
Per Month
Employment Information
Per
 Week
 2 Weeks
 Month
 Year
Other Income You Would Like Considered
Pension
 Social Security
 Disability
 Child Support
 Alimony
Financial Information
Checking
 Savings
Have you ever had a vehicle repossessed?  If yes, when ?
Have you ever filed bankruptcy?  If yes, when?
 Check if discharged
Are any accounts late or delinquent?  Check box if YES.
Do you have any open liens or judgments?  Check box if YES
Have you applied for or been turned down for a loan in the last 60 days?
Vehicle Information
What vehicle are you interested in purchasing?
Do you have a trade-in vehicle?
Do you owe anything on the vehicle you wish to trade?  YES or NO
 Current Balance?
How much do you want to put as a down payment on this vehicle?
References and General Information
Nearest Relative or Friend Not in Household
Reference #2
Reference #3
How did you hear about us?
By checking this box and providing this information,
you are authorizing us to begin the credit process and allowing us
to obtain your credit history.    
MAPLE SHADE SALES AND LEASING, L.L.C.  3058 ROUTE 73 NORTH   MAPLE SHADE, NEW JERSEY 08052
PHONE: 856-779-7200       FAX:  856-482-7601       EMAIL:  ADMIN@MAPLESHADEAUTOSALES.COM
Please take a few minutes to fill out our convenient on-line credit pre-application and our
credit department will begin the financing process for you.
A credit specialist will contact you when we have received and reviewed your application.
Please be sure to provide all of the requested information and a telephone number where
you can be reached if additional information is required to complete the process.