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*First Name, Middle Initial
*Last Name
*Day Phone Number
*Evening Phone Number
*Email Address
Date of Birth
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Social Security Number
-
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Driver's License
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Occupation
Employer
Employment Start Date
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Gross Salary before taxes
$
per
Year
Month
Week
Business Phone
Residence Status
Rent
Own
Live with Parents
Other
Residence Move-in Date
January
February
March
April
May
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September
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November
December
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Address
City, State Zip
Housing Payment
$
per month
Available Down Payment
$
Select Vehicle(s) of Interest
10 Acura TSX $22,999
05 BMW 3 Series 325i $11,999
10 BMW 3 Series 328i $24,999
06 BMW 5 Series 525i $15,999
10 BMW 5 Series 528i $26,800
08 BMW X3 3.0si $23,999
09 Cadillac CTS 3.6L V6 $23,900
07 Cadillac CTS High Feature $17,999
05 Cadillac Escalade $12,999
99 Cadillac Seville STS $5,500
00 Chevrolet C/K 2500 Series K2500 LS $14,999
10 Chevrolet Camaro SS $26,999
00 Chevrolet Impala LS $4,900
10 Chevrolet Impala LT $13,999
12 Chevrolet Impala LTZ $19,900
04 Chevrolet Monte Carlo SS Supercharged $8,999
05 Chevrolet Silverado 1500 $15,999
08 Chevrolet Silverado 1500 LT1 $19,999
07 Chevrolet Silverado 1500 Classic LS2 $18,999
06 Chevrolet TrailBlazer $15,999
07 Chevrolet W4500 $17,900
12 Chrysler 200 LX $15,999
12 Chrysler 200 Touring $15,999
06 Chrysler 300 C $14,999
09 Chrysler 300 LX $16,900
08 Chrysler PT Cruiser $10,999
12 Dodge Challenger $23,999
09 Dodge Charger R/T $21,999
07 Dodge Charger RT $19,999
07 Dodge Grand Caravan SE $9,999
02 Dodge Grand Caravan Sport $7,999
00 Dodge Neon ES $3,999
03 Dodge Ram 1500 $10,999
05 Dodge Ram 1500 $9,999
08 Dodge Ram 1500 $19,500
08 Dodge Ram 1500 $19,999
06 Dodge Ram 1500 Laramie $15,999
07 Dodge Ram 1500 SLT $9,900
07 Dodge Ram 3500 $19,999
90 Ford Bronco Eddie Bauer $3,999
10 Ford Escape Limited $18,500
08 Ford Expedition Eddie Bauer $20,500
00 Ford Explorer XLS $5,999
08 Ford F-150 Styleside $17,999
94 Ford F-150 XL $4,999
07 Ford F-150 XLT
09 Ford F-150 XLT $21,999
08 Ford F-250 Super Duty Lariat
04 Ford Mustang GT Deluxe $11,999
97 Ford Taurus SHO
03 GMC 2500 Sierra $4,999
07 GMC Acadia SLT-1 $15,500
08 GMC Sierra 1500 SLE $25,900
07 GMC Sierra 1500 Classic SLE1 $19,999
08 Honda Civic LX $10,999
11 Honda Civic Si $20,999
10 Hyundai Santa Fe GLS $14,999
08 Hyundai Tiburon GT $13,800
12 Hyundai Veloster $19,500
09 Hyundai Veracruz $19,999
04 Infiniti G35 $12,500
06 Infiniti G35 $16,999
07 Infiniti M35 $19,999
04 Jaguar XJ-Series XJ8 $10,999
07 Jeep Wrangler X
08 Jeep Wrangler X $19,999
10 Kia Forte EX $13,999
12 Kia Optima LX $18,999
11 Kia Sorento LX $19,999
08 Lexus GS 350 $27,900
05 Mazda MAZDA6 i Sport $8,750
12 Mazda MAZDA6 i Sport $18,999
02 Mazda Tribute ES-V6 $5,999
09 Mercedes-Benz C-Class C300 Sport $22,500
98 Mercedes-Benz E-Class E320 $4,999
09 Mercury Mariner I4 $15,999
00 Mitsubishi Eclipse GT $2,999
11 Mitsubishi Galant FE $15,900
10 Mitsubishi Lancer Evolution MR $31,999
09 Nissan 370Z $24,999
03 Nissan Altima 2.5 S
08 Nissan Altima 2.5 S $15,999
10 Nissan Altima 2.5 S $16,999
12 Nissan Altima 2.5 S $18,999
13 Nissan Altima 2.5 S $22,900
05 Nissan Armada SE
01 Nissan Maxima $5,650
04 Nissan Maxima 3.5 SE $8,750
12 Nissan Maxima 3.5 SV $22,500
05 Pontiac Bonneville GXP $12,999
02 Pontiac Firebird $7,999
00 Pontiac Firebird Trans Am $16,999
08 Scion tC $10,999
09 Toyota Camry LE $14,999
05 Toyota Celica GT $11,999
07 Toyota Corolla CE $11,999
07 Toyota Tundra SR5 $18,999
11 Volkswagen GTI $20,500
12 Volkswagen Jetta SE PZEV $18,999
12 Volkswagen Jetta TDI $22,999
09 Volkswagen Passat Komfort $14,999
12 Volkswagen Passat S $19,995
04 Volvo XC90 T6 $10,999
Comments / Questions
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Terms : I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.
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