Credit Application

Supplemental Financing Pre-Qualification Form

Fill in the form below to pre-qualify for SUPPLEMENTAL FINANCING.

Pre-Qualifying for supplemental financing through Birmingham Auto Auction's lending partners is fast, convenient and secure. Simply complete all required (*) fields with your personal and employment information, and then click "Submit Application" to send it in.
Your information will be submitted securely and will only be accessible by Birmingham Auto Auction and our lending partners in order to process your application. If you have any questions or concerns, please contact us at (205) 744-4030 for assistance.

 
Identity and Residence Information
Applicant Information

Please ensure to include the dashes

Land line or mobile numbers are acceptable

If the Primary Number is your only number, enter it again here

Current Residence
Previous Residence
  Employment and Income Information
 *NOTE: Alimony, Child Support, or Separate Maintenance Income need not be disclosed if you do not wish to have them considered as a basis for repayment  
Current Employer Information

Round to the nearest dollar. Do not enter any $ or , or . symbols

Round to the nearest dollar. Do not enter any $ or , or . symbols

Previous Employer Information

Round to the nearest dollar. Do not enter any $ or , or . symbols

Co-Applicant Information

Please ensure to include the dashes

Land line or mobile numbers are acceptable

If the Primary Number is your only number, enter it again here

  Employment and Income Information
 *NOTE: Alimony, Child Support, or Separate Maintenance Income need not be disclosed if you do not wish to have them considered as a basis for repayment  
Co-Applicant Current Employer Information

Round to the nearest dollar. Do not enter any $ or , or . symbols

Round to the nearest dollar. Do not enter any $ or , or . symbols

Acceptance Of Terms & Electronic Signature
Pre-Qualification Application Terms

By electronically signing this loan pre-qualification application, you certify that all data entered was done soley at your discretion for the purpose of obtaining a credit-worthiness judgement, and that all of the data entered into the form is true and accurate to the best of your knowledge. Your signature also authorizes Birmingham Auto Auction and its affiliated lending partners to obtain any pertinent information using the data you've provided to aide in making a sound credit-worthiness decision. By signing, you also agree that the application may remain in the posession of Birmingham Auto Auction and its affiliated lending partners after any credit-worthiness decisions are made, and absolve Birmingham Auto Auction and its affiliated lending partners of any liability for your current credit-worthiness standing with all major credit rating agencies that may be incurred in verifying the data you've provided.

Electronic Signature pursuant to the U.S. Federal ESIGN Act.

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