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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
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February
March
April
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December
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Address
City, State Zip
Housing Payment
$
per month
Available Down Payment
$
Select Vehicle(s) of Interest
05 Acura RSX w/Leather $10,999
07 Audi A4 2.0T $18,999
11 BMW 3 Series 328i $33,999
06 BMW 5 Series 525i
87 Buick Regal Grand National Turbo $19,999
00 Cadillac Eldorado ETC $8,995
07 Cadillac Escalade $27,999
97 Chevrolet C/K 1500 Series C1500
90 Chevrolet C/K 1500 Series C1500 454SS $10,999
95 Chevrolet Chevy Van G30 $5,999
10 Chevrolet HHR $14,900
11 Chevrolet Impala LT Fleet $17,999
12 Chevrolet Malibu LT $20,999
04 Chevrolet Monte Carlo SS Supercharged $10,999
06 Chevrolet Silverado 1500 LT1 $16,999
07 Chevrolet Silverado 1500 LTZ $23,999
04 Chevrolet Silverado 2500 $14,999
04 Chevrolet Silverado 2500HD LS
06 Chevrolet Silverado 2500HD LT1 $28,999
06 Chevrolet Suburban $15,999
06 Chrysler Crossfire Limited $19,999
07 Chrysler PT Cruiser $10,999
11 Dodge Charger
08 Dodge Durango SXT $17,500
07 Dodge Grand Caravan SXT $9,999
11 Dodge Nitro SE $19,999
04 Dodge Ram Pickup 1500 SLT $13,500
04 Dodge Ram Pickup 1500 SLT
09 Dodge Ram Pickup 1500 SLT $25,999
04 Dodge Ram Pickup 1500 ST $9,775
08 Ford Escape Limited $16,500
04 Ford Explorer Sport Trac XLT $13,999
92 Ford F-150 $3,999
04 Ford F-150 FX4 $13,999
09 Ford F-150 FX4 $24,999
04 Ford F-150 Lariat $14,999
06 Ford F-150 Lariat $19,800
03 Ford F-150 XL $7,999
03 Ford F-150 XLT $11,999
05 Ford F-150 XLT $15,999
06 Ford F-150 XLT $13,999
04 Ford F-250 Super Duty Lariat $15,500
06 Ford F-250 Super Duty Lariat $27,999
06 Ford F-350 Super Duty Lariat $28,999
12 Ford Focus SEL $20,995
03 Ford Mustang $6,999
09 Ford Mustang GT Premium $22,999
10 Ford Taurus SHO $28,999
02 Ford Thunderbird Deluxe $16,899
07 GMC Acadia SLT-1
02 GMC Sierra 1500 SLE
07 GMC Yukon SLT $20,999
05 Honda Civic EX $7,999
08 Honda Civic Si $17,999
09 Honda Civic Si $19,999
08 Hummer H3 $17,999
08 Hummer H3 $17,999
11 Hyundai Elantra GLS $18,999
08 Hyundai Santa Fe GLS $14,999
12 Hyundai Sonata GLS $19,999
07 Hyundai Tiburon SE $14,900
95 Jeep Grand Cherokee Orvis $4,999
11 Jeep Liberty Sport
92 Jeep Wrangler S $7,295
10 Kia Soul $18,999
05 Lexus ES 330 $16,999
05 Lincoln LS Luxury $12,999
03 Lincoln Town Car Signature $10,900
05 Mazda MAZDA3 i $8,999
08 Mazda MAZDASPEED3 Grand Touring $18,500
02 Mazda Protege5 $7,999
08 Mazda RX-8 40th Anniversary Edition $21,000
05 Mercedes-Benz C-Class C240 $13,999
08 Mercedes-Benz C-Class C300 Luxury $25,999
03 Mercedes-Benz E-Class E500 $10,900
97 Mercedes-Benz SL-Class SL320 $10,500
06 Mercury Montego Premier $11,999
04 Mini Cooper $12,999
00 Mitsubishi Eclipse GT $5,999
06 Mitsubishi Endeavor LS $11,999
06 Mitsubishi Lancer
08 Mitsubishi Lancer Evolution GSR $26,999
08 Mitsubishi Outlander $15,900
06 Nissan 350Z Enthusiast $14,999
08 Nissan Frontier SE V6 $17,999
04 Nissan Maxima 3.5 SE $10,999
05 Nissan Maxima 3.5 SE $12,999
08 Nissan Rogue SL $17,999
04 Nissan Sentra SE-R $7,999
08 Nissan Titan LE FFV
02 Nissan Xterra SE $9,999
04 Oldsmobile Alero GL1 $6,500
08 Other Zx24v $39,500
08 Pontiac G5 GT $13,999
67 Pontiac GTO $26,500
08 Pontiac Solstice SCCA SSB Champion Edition $17,999
02 Saturn S-Series SL2 $3,999
07 Scion tC $12,500
07 Scion tC $12,999
11 Scorpion Airboat 500 Hp Water Thunder $31,995
06 Suzuki Grand Vitara Luxury $14,500
99 Toyota 4Runner Limited $8,999
07 Toyota Camry Solara SE V6 $16,999
10 Toyota Corolla LE $15,999
07 Toyota FJ Cruiser $18,900
06 Volkswagen New Beetle TDI $13,399
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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