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Preapproved Loan Request


* = Required fields
Loan Type:
Personal Invitation Number (if applicable)


* Name:
* SSN #
* Birth Date:
* Present Address:
* City: *State: *Zip:
* Home Phone:
* Months There? Own Rent
* Monthly Rent/House Payment: $
* Employer Name:
* Time There: Months
  Work Phone:
*Gross Annual Income: $ (Amount before taxes)
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Will there be a joint owner on this account?
Yes, there will be a CO-APPLICANT on this account.

Please include any further explanations or comments as necessary.

By activating your loan, you understand this offer was made based on a screening of your credit history, and that the offer (minimum loan amount $4,000 for purchases or $2,500 for refinances) may not be extended if you no longer meet the selection criteria, the criteria for creditworthiness, including sufficient income to support the credit, or if you do not furnish the required collateral. You additionally authorize First U.S. to verify all of your information using any source necessary, including a credit reporting agency to see if any adverse items have been added to your credit file since the credit screening took place. In the event of any adverse change since the credit screening, you understand the offer may be withdrawn. The quoted APR (Annual Percentage Rate) includes a .50% discount for automatic payments, and is effective 11/1/12. Rates, terms and offers subject to change without notice. Payment example: 72 payments of $16 per $1,000 borrowed. $100 cash bonus requires a $10,000 minimum loan balance and loan must remain open for six months. Interest accrues from date of dispersal. Vehicle model years 2001 and older limited to 100% high Kelly Blue Book. (If refinancing a loan obtained elsewhere, a copy of your motor vehicle registration is required.) This offer cannot be used to refinance an existing First U.S. auto loan.

This "prescreened" offer of credit is based on information in your credit report indicating that you meet certain criteria. This offer is not guaranteed if you do not meet our criteria. If you do not want to receive prescreened offers of credit from this and other companies, call the consumer reporting agencies toll-free, 1-888-567-8688; or write: Equifax Options, P.O. Box 740123, Atlanta, GA 30374-0123; TransUnion, Name Removal Opt-Out Request, P.O. Box 97328, Jackson, MS 39288; and Experian Credit Marketing Opt-Out, P.O. Box 919, Allen, TX 75013

(You must click the disclosure link ABOVE to activate the "submit" button in order to continue the application process.)

*Applicant: I agree to these terms
Co-Applicant: I agree to these terms




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