Apply for Credit

Address: *

How Long at Current Address: *

Requested Loan Amount (Select Below): *

$1,000 $3,000 $5000 or Above

How much do you make monthly? *

Employer Name & Phone Number: *

Phone: *

Current Position at Job: *

No Credit Needed. Checking Account is Required. Submit Information below to get Pre Approved or we can do at Shop.

Name: *

Rent or Own? *

I Agree *

By Checking this Box you Allow United Auto Repair to Submit Credit Application for Services. You Agree that the information submitted is True & Correct.

How long at Job: *

If less then 2 years list all other Employers here: *

Social (Needed to Verify Identity): *

Birthdate: *

List other Addresses here if Less then 2 years.

Tel: .209.941.8218

400 N El Dorado Street Stockton CA 95202

Are your Paid Hourly or Salary? *

Upload Pic of Drivers License or ID *

Email: *