Loan Application Lewis Automotive First Name Last Name Date of Birth Phone Social Security Number Please select one of the following Please select one of the followingI am ApplicantI am Co-sighner Applicant Name Address City State Zip What vehicle are you applying for? What is the amount of your down payment? Housing Status Housing Payment or rent How long at address? Current employer Employer phone How long with employer? Employer address Annual Income 2 + 11 = Submit