Dealer Loan Application Note: This is a secure form using a SSL (secure sockets layer) server. All information will be encrypted during transmission. New Vehicle Information Year: Model: Make: Model Code: Body: Exterior Color: Interior Color: Vehicle Equipment Options Engine:    Automatic   Manual Transmission Option Package: List any optional equipment below: Individual Application (If you apply for credit based solely on your own credit worthiness, you must complete all sections below. Click the 'agree' button for signature. Drivers License # State Expires Section 1 - Applicant Applicant's Full Name: SS# Home Address How long there? Yrs. Mos. City and State: Zip Code: Section 1 - Co-Applicant Co-Applicant's Full Name: SS# Home Address How long there? Yrs. Mos. City and State: Zip Code: Signed: by clicking the submit button you agree that all information above is current and correct © 2001 - Colonial Management, L.L.C.