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First Name
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MI
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Last Name ] |
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Address ] |
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City] |
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State, Zip ] |
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Home Phone] |
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Email ] |
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Date of birth (mm/dd/yyyy)] |
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Social Security Number] |
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Drivers license number, State issued
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Name of nearest relative not living in household |
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Phone Number |
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Residence:Own,
Rent,
Other
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Time at residence, years,
months |
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Monthly Payments |
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Mortgage Company or Landlord |
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Address |
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Phone Number |
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Home Market Value |
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Outstanding Balance |
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If less than 5 years at current address what was your previous address, |
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, City
, State
Zip
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Employers name ] |
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Employer Address |
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Employer City, State and Zip |
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Employer Phone |
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Occupation & Length of employment |
,
years
mo. |
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Monthly Income |
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Other Income |
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Sources (WA)* |
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*Source of other income: alimony, child support or separate maintenance income need not be disclosed if you do not wish to have
it considered as a basis for repaying this obligation. |
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How many credit cards do you have |
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Which cards do you have:
American Express,
Discover,
MasterCard,
Visa |
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Gas Cards,
Department Store Cards,
Other |
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Banks Accounts |
Savings,
Checking |
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Will there be a co-applicant |
No,
Yes |
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If Yes - Name of co-applicant |
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Co-applicant Address (street, city, state & zip) |
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Co-applicant monthly income |
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Which vehicle you are interested in
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Make
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Model
Year |
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Down Payment Amount ] |
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Trade
No,
Yes
-- if yes >> |
Make |
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Model
Year |
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Trade in amount (check Kelly Blue Book) |
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Balance owed on trade (if any) |
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Inaccurate or incomplete information may limit
Chuck Graves Chevrolet-Cadillac's ability to process your application in a timely manner or result in a
less favorable financing offer than you might otherwise receive. By clicking "Submit Form -
Yes, I Agree" you agree the above information is for the purpose of obtaining credit and
authorize the dealer to obtain information regarding your credit. |
