Consent to Screening

By clicking the checkboxes and Submit, I agree that (i) provide my authorization and written instruction to Dealer and its successors, assigns and agents to perform a “soft” credit report pull (which inquiry will not affect my credit score) from one or more credit bureaus and to obtain any other information deemed necessary or helpful, in accordance with the federal Fair Credit Reporting Act and other applicable state and federal laws, for the purpose of analyzing my potential creditworthiness for motor vehicle financing (“Request”). I acknowledge that I may be contacted by the Dealer and understand that this Request process does not guarantee a final result nor final credit approval by any lender. For example, credit scores below lender established thresholds may not produce any result. In such situations, I understand that I may be requested to submit a full credit application with the Dealer. The results of the Lender Selector® screening are not offers of credit.

I confirm that (i) I have read, understand and agree to the Dealership Privacy Policy, Consent to Contact by Telephone, and Electronic Consent, Signature and Terms and will retain a copy of the same for my record and (ii) my name as entered in the Electronic Signature below is accurate. Finally, I understand that (i) a copy of the Dealership Privacy Policy and Electronic Consent, Signature and Terms will be provided to me by SMS link or emailed to me, as appropriate, and (ii) a “hard” credit pull (which may affect my credit) may be made if a credit application is submitted with any lenders Certified Autobrokers works with.

Check the box below to submit your inquiry

Signature Form

  • This field is for validation purposes and should be left unchanged.

Customer Information

Additional Information

Time at Current Address
Current Employment
Time at Current Job

Previous Employment

Time at Previous Job
Other Income

Alimony, child support, or separate maintenance does not need to be revealed if you do not want it considered when repaying this obligation.

Consent and Disclosures

Please review the consent and disclosure notice and click the required box(es) to continue your application.



Check the appropriate box to indicate Individual Credit or Joint Credit.



Request for More Information

Based on the name and address you provided, we are unable to locate your credit file information. To continue, please provide your SSN and click “Try Again” to continue with the pre-qualification process.

As a reminder this does not log a hard inquiry on your credit file or affect your credit score and we do not store or share your SSN.

Additional Information

Thank you for submitting your information.

We are preparing financing estimates for your vehicle. We will contact you shortly.

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