99 Motors, Inc.
Pre-Qualification Checklist
Contact information:
First & Last Name:
Current City:
E-mail Address:
Contact Telephone:
Household Information:
Driver License State:
Marital Status:
How long have you lived at current address?
Rent:
or   Own
 House:
or   Apt
If current address less than 2 years:
How long did you live at your previous address?
What city / state?
Employment Information:
Current Employer
Current Position
For how long?
If at current employer less than 2 years:
Previous Employer
 Position:
For how long?
Almost Done!  Just a few more questions...
Do you have excluded individuals on your
insurance policy?
Yes
or   No
Do you have a debit or credit card for
biweekly payments?
Yes
or   No
Do you have more than 5 local references?
 Yes
or   No
How many of these references are relatives?
Take home pay? (After tax)
Other Income?
Now the fun part!  Please tell us about your ideal vehicle...
How much available for down payment?
Maximum amount of desired monthly payment?
How often will vehicle be used outside of
Atlanta area?
Please briefly describe the vehicle you would like
and any other comments below:
Qualifying for our Rent-to-Own (RTO) program is easy and painless. There is no credit check!  
Please take two minutes and enter the information below - then press the submit button. We will be back in touch quickly!
(If you don't see "SUBMIT", please scroll down a little.)