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Credit Application
First Name Last Name
Address City
State Zip Code
Years at
Current Address
Date of Birth (mm/dd/yyyy)
Day Phone Evening Phone
Mobile Phone Social Security No.
E-mail Confirm E-mail
Employed YES NO Monthly HouseHold Income
(Gross/Pre Tax)
Employer Name Employer Phone
Months at Current Employer
Bankruptcy YES NO (Discharged in the past 12 months?)
Previous Installment Loan YES NO
Repossession YES NO (In the past year)
Co-Signer Available? YES NO
Are you currently a homeowner? YES NO
Notes:
Please list the vehicle you are interested in. Include any additional comments or notes:
By submitting this application I hereby give Joe Romeo's United Chevrolet and / or it's lending partners, permission to pull my credit report. Your credit information may be shared with our partners for the sole purpose of obtaining vehicle financing per your request.
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