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PRIMARY APPLICANT
1.Name:
2.Social Security #
3.Address(street, city, state, zip code):
4.Do you rent or own?
5.Mortgage/Rent monthly payment:
6.Do you live with relatives?
7.Name of mortgage company Landlord
8.How long have you lived there?
9.Do you have a bank account?
10.Bank Name:
11.Checking or savings?
12.Is your check direct deposited?
13.Home Phone:
14.Cell Phone:
15.E-Mail:
16.Birth Date:
17.Employer:
18.Start date:
19.Your Job title:
20.Supervisors name:
21.Supervisors phone Number:
22.Gross Monthly Income before deductions: $
23.Down payment amount:
24.What payment amount can you afford?
25. What Vehicle are you interested in?(Stock #)
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