Luxury Sports and Imports Premier Motor Car Sales

Credit Application

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Applicant Completes This Section
Last Name or Business Name    First Name                   MI          Date of Birth
                    / /
Social Security # or Tax ID #   Street Address                    PO Box #
            
City                                        State           Zip
                 
Home Phone                            Residence Type
               Own Rent Family Other
Mtg Payment or Rent                Time at Address (Years & Months)
                             
Employed By or Type of Business       Occupation
                 
Business Phone              Gross Annual Income (All Sources)    Time Employed     Military Rank
                                            
Previous Employment        Previous Address         What Car Are you Interested In?
                   
What Salesperson                          E-mail Address
           
Trade-In Info on Your Vehicle
Year             Make            Model          Miles
Comments
Co-Applicant Completes This Section
Last Name or Business Name    First Name                   MI          Date of Birth
                    / /
Social Security # or Tax ID #   Street Address                    PO Box #
            
City                                        State           Zip
                 
Home Phone                            Residence Type
               Own Rent Family Other
Mtg Payment or Rent                Time at Address (Years & Months)
                             
Employed By or Type of Business       Occupation
                 
Business Phone              Gross Annual Income (All Sources)    Time Employed     Military Rank
                                            
Previous Employment        Previous Address         What Car Are you Interested In?
                   
What Salesperson                          E-mail Address
           
Trade-In Info on Your Vehicle
Year             Make            Model          Miles
Comments

By pressing the submit button the sender is applying for credit, authorizing the dealership to obtain a credit report, and authorizing the dealership to provide such information obtained to third party lending institutions to service the credit requested. Sender has also reviewed the privacy policy and email directive attached.

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In order to qualify for one of our many credit programs, we'll need your social security number to run a credit check. If you proceed with the questions above and submit your information above by clicking on the 'submit' button, you are thereby giving your consent for our dealership to obtain a consumer credit report.
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