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866-930-2653

 

South Florida cities we service:

Aventura

Boca Raton

Boynton Beach

Coconut Creek

Cooper City

Coral Springs

Dania Beach

Davie

Deerfield Beach

Delray Beach

Fort Lauderdale

Hallandale Beach

Hialeah

Hialeah Gardens

Hillsboro Beach

Hollywood

Lauderdale by the Sea

Lauderdale Lakes

Lauderhill

Lazy Lake

Lighthouse Point

Margate

Miramar

North Bay Village

North Lauderdale

North Miami

North Miami Beach

Oakland Park

Parkland

Pembroke Pines

Plantation

Pompano Beach

Sea Ranch Lakes

Southwest Ranches

Sunrise

Tamarac

West Park

Weston

Wilton Manors

 

Apply Online

We Finance "Same as Cash"

Installment Application

*Email:
Last Name:
First Name:  
 Initial
Social Security Number:

Present Home Address:
(including route,box, apt.#)


City:
State:   Zip:
   
How Long: Year(s) 
Month(s)

                                Own
       Rent       Other

Area Code/Phone Number (
Birth Date:   Month/Day/Year
Previous Address:
(if less than 1 year at present)


City:
State:
Zip:

Spouse Information

Last Name:
First Name:  
 Initial
Present Home Address:
(including route, box, apt.#)


City:
State:   Zip:

 

How Long: Year(s) 
Month(s)

                                Own
       Rent       Other

 

Applicant's Employer (if military, show branch and pay grade)

Company Name:
Company Address:
(including route, box, apt.#)


City:
State:   Zip:
Area Code/Phone Number (
How Long: Year(s) 
Month(s)
Occupation:
Gross Earnings $:
 
Other Income (Income from alimony, child support or maintenance payments need not be disclosed unless relied on as a basis for credit).
 
Monthly Amount $:
How Long: Year(s) 
Month(s)
Source:
 
Provide any other name in which credit can be verified.
 
Name of Nearest Relative Not Living with You:
Address:
(including route, box, apt.#)


City:
State:   Zip:
Area Code/Phone Number (

Joint-Application Information

Last Name:
First Name:  
 Initial
Social Security Number:
Present Home Address:
(including route, box, apt.#)



City:
State:   Zip: 
   
How Long: Year(s) 
Month(s)

                                Own
       Rent       Other

Area Code/Phone Number (
Birth Date:   Month/Day/Year
Previous Address:
(if less than 1 year at present)


City:
State:   Zip: 
   
 

I certify that everything I have stated in this application and on any attachments is true and correct.  Proficient Air, the administrator of this program may keep this application whether or not it is approved.  By agreeing below, I authorize Proficient Air to check my credit and employment history and to answer questions from and provide information to others about my credit record with Proficient Air.  I understand that I must update credit information at Proficient Air's request if my financial condition changes.  A consumer report may be requested in connection with this application or in connection with updates, renewals or extensions of credit.  Upon your request you will be informed whether or not a consumer report was requested and if so the name and address of the agency that furnished such report.  
I agree to the above terms

I disagree
  Applicant Name
  Date

 

  Joint-Applicant's Name
  Date

 

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