Complete the brief application below and you will receive an email confirming we have received and are reviewing your application. It's quick and easy. Because of our high volume of business with our lenders, we are able to shop for, and find, the best finance deal for YOU, saving you time and money! So, whether your credit is excellent or a little less than perfect, Premier Kia of Kenner can help.

Special Financing

Click here to learn more about special financing information here at Leblanc Nissan

TYPE OF LOAN

PLEASE SELECT LOAN REQUEST TYPE Individual Joint

BUYER PERSONAL INFORMATION

* FIRST NAME  * LAST NAME 
* STREET ADDRESS
* CITY   * STATE    ZIP 
* EMAIL * CONFIRM EMAIL
DAY PHONE HOME PHONE
* SOC. SEC. NO. DRIVERS LICENSE NO.
* DATE OF BIRTH / /
BEST TIME TO CONTACT  PREFERRED METHOD 
* DO YOU  MONTHLY PAYMENT 
MORTGAGE HOLDER OR LANDLORD  TIME AT RESIDENCE  YRS  MO

BUYER EMPLOYMENT INFORMATION

EMPLOYER POSITION/TITLE
JOB TIME  
BUSINESS PHONE BUSINESS ADDRESS
CITY   STATE   ZIP 
GROSS ANN. SALARY $
OTHER INCOME SOURCE (alimony, etc.)
MONTHLY INCOME $

BUYER CREDIT / PERSONAL REFERENCES

PREVIOUS EMPLOYER / SCHOOL WILL YOU BE TRADING  YES 
AMOUNT OWED $ AUTO CREDIT REF.
OTHER CREDIT REF. BALANCE
NEAREST RELATIVE
NAME
RELATIONSHIP
ADDRESS
PHONE
OTHER REFERENCE
NAME
PHONE

I certify that the above information is complete and correct. I authorize Premier Kia of Kenner to obtain credit reports about me and investigate my credit history.

 YES      NO