Loan Application This field is hidden when viewing the formApplication TypeVehicle DetailsCollateral Type*Please Select...AutoPre-approval AutoBoatPre-approval BoatAircraftMotorcycleRVCoinIf you are still shopping please select "pre-approval"Year*Please Select...190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025Make*Model*Purchase Price*Please enter a number from 0 to 10000000.Loan Amount*Please enter a number from 0 to 10000000.Applicant DetailsName* First Last Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number*Home Phone*Cell PhoneContact PreferencePlease Select...Home PhoneWork PhoneCell PhoneResidence DetailsAddress* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioPuerto RicoOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Time at Residence (Years)*Please enter a number from 0 to 99.Please round to the nearest whole number.Time at Residence (Months)Please enter a number from 0 to 11.Please round to the nearest whole number.Residence TypePlease Select...Own HomeRentOtherMonthly PaymentsPlease enter a number from 0 to 10000000.Rental or mortgage payment.Employment DetailsIf retired, please provide most recent employment with current income.Employment Status*Please Select...EmployedSelf EmployedRetiredOtherEmployer*Position*Time at Employer (Years)*Please enter a number from 0 to 99.Please round to the nearest whole number.Time at Employer (Months)Please enter a number from 0 to 11.Please round to the nearest whole number.Yearly Income*Please enter a number from 0 to 10000000.Work PhoneOther IncomePlease enter a number from 0 to 10000000.Include: alimony, rentals, pension/SS, investments, etc.Other Income Source*Co-Applicant DetailsName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number*Home Phone*Cell PhoneContact PreferencePlease Select...Home PhoneWork PhoneCell PhoneCo-Applicant Residence DetailsSame Address as Applicant?* Yes No Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioPuerto RicoOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Time at Residence (Years)*Please enter a number from 0 to 99.Please round to the nearest whole number.Time at Residence (Months)Please enter a number from 0 to 11.Please round to the nearest whole number.Residence TypePlease Select...Own HomeRentOtherMonthly PaymentsPlease enter a number from 0 to 10000000.Rental or mortgage payment.Co-Applicant Employment DetailsIf retired, please provide most recent employment with current income.Employment Status*Please Select...EmployedSelf EmployedRetiredOtherEmployer*Position*Time at Employer (Years)*Please enter a number from 0 to 99.Please round to the nearest whole number.Time at Employer (Months)Please enter a number from 0 to 11.Please round to the nearest whole number.Yearly Income*Please enter a number from 0 to 10000000.Work PhoneOptional Vehicle ImagesIf a link or pictures are available, please add them here. This is not a requirement but may speed up the loan decisioning process.Link to Vehicle Images Upload Vehicle Images Drop files here or Select files Max. file size: 120 MB. DisclaimerAuto Application Disclaimer* I have read, understood, and agree to the following disclaimer: I/We have read this application and certify that everything I/We have stated is accurate. J.J. BEST BANC & CO. may provide such information set forth in the application and any other information it receives to another creditor for consideration. By submitting this application, I/We give J.J. BEST BANC & CO., its corporate affiliates, or its assigns, the authorization to access my/our credit reports, employment history, or any other information sources. I/We understand that the information I/We have provided is given to obtain credit from J.J. BEST BANC & CO. or its assignees, and that J.J. BEST BANC & CO. will retain this application whether or not it is approved, except as otherwise prohibited by application law or regulation.Insurance Program I am interested in J.J. BEST BANC & CO.'s Classic Car Insurance program. How did you find jjbest.com*Please Select...Dealer/BrokerCar AuctionBoat ShowOnline ResearchEmailSocial MediaPostcardMagazine AdFriend/FamilyRadioTVOtherFor internal use onlyCar Auction Name*Dealer/Broker Name*Boat Show Name*Please Specify:*GoogleBingYahooOtherSource StringDetails*Social Media Platform:*Which Magazine/Publication?*Which TV Show?*Source NumberExample 8015AEntered ByNameThis field is for validation purposes and should be left unchanged. We’re here to answer any questions you may have. 1-800-USA-1965 cs@jjbest.com Open 7 Days a Week Mon – Fri: 9am – 9pm EST Sat – Sun: 10am – 4pm EST