Financing Pre-Qualification Form
Completing this form makes the purchase process faster and easier! It's secure and private - fill it out today!

Loan Information

Applicant Type:
Amount Required: Loan Term:
Down Payment: Trade-In:

Vehicle Information

Year: Miles:
Make: VIN:
Model:

Employment Information

Employer:
Occupation:
Monthly Income:
Time On Job:
Business Phone:
Address:
City: State:
Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: Preferred Contact:
Address:
City: State: ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
Soc. Sec. No.: Date of Birth:
Residence Type: Monthly Payment:
Years At Residence:

Additional Information

Message Text:
* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process by application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Capitol Mazda
909 Capitol Expressway Auto Mall
San Jose, CA 95136
Phone : (408) 723-8800
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Kathi Greene
Internet Sales Director
Phone: (408) 723-8800 x7123