Secure Credit Application

Applying for 2022 Tesla Model Y Long Range (CM125233). Fields marked with a lock are encrypted.

This is a secure application. Sensitive details like your Social Security Number and income are encrypted and only accessed by our finance team to evaluate financing. We never sell your information.

Applicant

First Name *

Last Name *

Phone *

Social Security Number

Date of Birth

Residence

Street Address

City

State

Zip

Housing

Monthly Rent/Mortgage ($)

Time at Address (months)

Employment & Income

Employer

Job Title

Status

Work Phone

Time at Job (months)

Gross Monthly Income ($)

Other Income ($/mo)

Other Income Source

Co-Applicant (optional)

Add a co-applicant

Vehicle of Interest

Vehicle / Stock #

Down Payment ($)

I certify the information provided is true and authorize Car Mart Auto Dealer and its lending partners to obtain my credit report and verify the information to evaluate my application for financing. I understand this is a request for credit and agree to the Privacy Policy.

Encrypted submission