Planet Auto Clinton
2726 Lincoln Way (Hwy 30 West) Clinton, IA 52732 Sales: (563) 243-0002
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Get Approved

Vehicle Loan Application

The Application form offers potential borrowers a convenient way of providing personal information that will help us to give the fastest response to your banking needs. You may be contacted by one of our lending officers to provide additional information or to visit Planet Auto in order to finalize and sign documents.

*By submitting this application, you (the applicant) authorize Planet Auto to pull a personal credit report in order to begin the loan application process.


Applicant Information
First Name:
Last Name:
Social Security Number:
Married or Single?:
Birth date:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Are you Renting, Buying or Own your Residence?:
How Long at Address?:
House Payment or Rent Payment each month?:
What vehicle are you interested in?:
If Trading in a vehicle what do you have?:
Employer Phone Number:
How Long at Job?:
Net pay/month:
Employer Address:
Co-Applicant Information
First Name:
Middle Initial:
Last Name:
Contact Information
Home Phone:
Cell Phone:
Work Phone:
Financial Information
Loan Amount: (USD)
Property Information
Property Type:
Purchase Price: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
I authorize Planet Auto to verify
my credit and employment history.


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