Negron Auto Deals Credit App

Please complete all required fields (*). This information is passed to the Mercedes-Benz dealership's finance department to run your credit application. It does not guarantee approval or represent an extension of credit. If you are applying with a co-buyer, switch on the Co-Buyer section below before submitting.

When you're done: tap "Send by Email" or "Send via WhatsApp" at the bottom — it will open your email or WhatsApp app with everything already filled in, including your SSN, ready for you to hit send to Negron Auto Deals. Nothing here is transmitted automatically or stored online — the message only leaves once you personally press send.

Primary Applicant

Personal & contact details

First name*

Middle name*

Last name*

Date of birth*

Social Security No.* Required by the dealership to run credit. Included only in the message sent from this device — never stored online.

Driver's license no.

License state

Mobile phone*

Email address*

Street address*

City*

State*

ZIP code*

Time at address*

Residence status*

Own Rent Living with family

Monthly housing payment*

Employment & Income

Applicant

Employer name*

Occupation / title*

Time employed*

Work phone*

Gross monthly income*

Other monthly income

Source of other income

Add a Co-Buyer

Turn this on if a spouse, family member or business partner is applying jointly.

Co-Buyer

Personal & contact details

First name

Middle name

Last name

Date of birth

Social Security No. Required by the dealership to run credit. Included only in the message sent from this device — never stored online.

Driver's license no.

License state

Mobile phone

Email address

Relationship to applicant

Street address

City

State

ZIP code

Residence status*

Own Rent Living with family

Employment & Income

Co-buyer

Employer name

Occupation / title*

Time employed*

Work phone*

Gross monthly income

Vehicle of Interest

What we're financing

Year

Make

Model

New or used

New Used / CPO

Preferred term

Lease Finance

Estimated selling price

Trade-in vehicle (year / make / model, if any)

Authorization & Signature

Required to submit