Pre-Qualification Form

Use this form to qualify for financing pre-approval.

To meet the basic requirements for pre-approval, you must: Be 18 or older.
Have your valid Social Security Number.
Be a legal resident of the USA (excluding Hawaii).
Have a verifiable income and/or employment.
Finally, you must have a fax or e-mail address where we can reach you.
If you meet all these requirements,
GREAT!
Let's get started...

Loan Information

*Amount Required:

*Loan Term:

*Down Payment:

*Trade-in:

Desired Vehicle

Manufacturer:
Year:
Model:
Miles:
VIN Number:

Employment Information

*Employer:

*Occupation:

*Monthly Income:

Time on Job:

*Business Phone:

*Address:

City:

State:

Zip:

Other Income

Source:
Monthly Income:

Contact Information

*Name:

*Email:

Home Phone:

*Day Phone:

Fax:

Preferred Contact:

Address:

City:

State:

Zip:

Applicant Information

Soc. Sec. No.:
Date of Birth	MM DD YY
Residence Type:
Monthly Payment:
Time at Residence:

Additional Information

Message Text:

*These fields are required

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If all the information is correct, click "Send Request" and your application will be transmitted. By submitting this information, you certify that the information you've provided is complete and true. You also authorize Wayne Acura to investigate your credit and employment history, obtain credit reports and answer questions about our credit experience with you. Wayne Acura reserves the right to void any credit offer if any information in this application is determined to be false or no longer meets the criteria used for this offer at the time of financing.

Wayne Acura
1425 Route 23 South
Wayne, NJ 07470

Phone: (973) 696-5700
Fax: (973) 633-0137
Email: Contact Us