Finance Application

Applying for vehicle financing is quick and easy! Simply fill out the secure form below. Fields marked with (*) are required.

Referral (If Applicable) Referrer's Name:

Contact Information * First Name: * Last Name: * Email:
* Address: * City:
* State: * Zip:
* Home Phone: - -

Personal Information * Drivers License: * Social Security: (xxx-xx-xxxx) - - * Date of Birth: (mm/dd/yyyy)
Residence: Monthly Rent / Mortgage Amount: Time at Current Residence:

Employment Information * Employer: * Work Phone: - - Occupation:
Length of Employment: * Monthly Gross Salary: Other Income:
Comments:

I agree to the following:

I am at least 18 years old and a permanent resident of the United States.
I authorize Toyota of Merrillville to obtain a credit report in connection with our review of your credit application.
I understand that Toyota of Merrillville may call me in connection with this application.
I have reviewed Toyota of Merrillville's privacy policy.
I have truthfully and completely provided the required information on this application.