Apply for your Auto Loan

You are ready to purchase that new or used car. Whether it’s a traditional model or a hybrid, you can use the same easy-to-complete application. We’ll work our hardest to have a decision for you in 1 business day or less.

Type of Loan* Loan Amount*
Repayment Term of this Loan*
* 72 Months & 84 Months for New Cars Only

Type of credit requested*

Please Tell Us about yourself


Please Tell Us about the co-applicant (if any)


First Name* First Name
Middle Initial Middle Initial
Last Name* Last Name
Date of Birth (mm/dd/yyyy)* Date of Birth (mm/dd/yyyy)
Social Sec. Number* Social Sec. Number
Home Phone* Home Phone
E-Mail Address* E-Mail Address
Confirm E-Mail Address* Confirm Email-Address
Present Employer* Present Employer
Present Employers Address* Present Employers Address
Length of Employment* Length of Employment
Position* Position
Work Telephone* Work Telephone
Previous Employer (if current is less than 2 yrs) Previous Employer (if current is less than 2 yrs)
Length of Previous Employer Length of Previous Employer
Gross Monthly Salary (round to nearest dollar)* Gross Monthly Salary (round to nearest dollar)
Other Income Other Income
* Alimony, child support or seperate maintenance need not be revealed if you do not wish it to be considered as a basis for repaying this obligation

Current Address

Previous Address

(if less than 2 years at current address)
Address* Address
City* City
State* State
Zip* Zip

Please complete the following information regarding your nearest relative(s)

Please complete the following information regarding your Co-Applicant nearest relative

Name Name
Address Address
Telephone Telephone
Relationship Relationship

Please tell us about your current assets and liability

Checking Account
Credit Card
Bank Name Name
Balance Balance
Savings Account
Installment Loans
Bank Name Bank Name
Balance Balance
Stocks and Securities
Auto Loan
Name Bank Name
Stock and Securities Value Auto Loan Balance
Other Asssets
Other Liabilities
Description Description
Current Asset Value Other Liabilities Balance

Vehicle Information: (Please submit a copy of Purchase Order, If available)

Year Make
Model Color
VIN (Vehicle ID Number)

Please read the following statements carefully before submitting your application

The undersigned gives this information for the purpose of obtaining credit and authorizes Dedham Institution For Savings ("the Bank") to obtain information concerning any statements made herein from any credit bureau or other investigative agency. I/We understand that if the Bank approves my/our request, a copy of the appropriate agreement form(s) stating the terms of my/our agreement(s) with the Bank will be furnished to me/us. If I/we fail to advise the Bank of any objection to the agreement and utilize the credit extended, the terms of the agreement will be binding upon me/us.
I have read and understand my rights as described above.*