Applicant Info

First Name*

Last Name*

Email Address*

Phone #*

Street Address*

Address line 2

City*

State*

Zip Code*

Residence Type

Monthly Rent/Mortgage*

Date of Residency

Social Security #*

Date of Birth*

Driver's License #

Driver's License State

Applicant Employment Info

Employer Name*

Employer Phone #*

Employer Address*

Employer City*

Employer State

Employer Zip*

Occupation*

Employment Status*

Date of Employment

This is the date you started your employment

Gross Monthly Income*

Additional Income Source

Any source outside of your full-time employment in which you receive a regular (dependable) income from

Additional Income ( Monthly Amount )

The amount of money you make from your additional income source

Tell us about the vehicle you want

Year

Make

Model

Trim

Vehicle Mileage

Loan Info

Desired Loan Amount*

Desired Monthly Payment*

Down Payment Amount*

Trade-In Info

Trade-In Make

Trade-In Model

Trade-In Year

Trade-In Mileage

Additional Comments

HOW WOULD YOU LIKE US TO CONTACT YOU?

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[Optional] I consent to receiving telemarketing calls or texts at this number using an automatic telephone dialing system by, or on behalf of, Hyundai and its authorized dealers. I understand I do not have to consent in order to submit a lead, receive contact from the dealer, or purchase any products or services. Carrier charges may apply. By submitting your information, you agree to the sharing of your information between Hyundai Motor America and its authorized dealers.

I agree to give permission for the above applicant(s) Consumer Credit Report(s) to be obtained, at no cost to me, in order to help determine the types and extent of financing which are available*

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Your estimated credit score

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