Jim sells Cars Credit Application

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First Name:* Middle Initial: Last Name:*
Address Line 1:*
City:* State:* Zip Code:*
Phone:*
Date Of Birth*
SSI Number
Years at Current Address:*
CURRENT PAYMENT
TIME AT ADDRESS*
TYPE OF RESIDENCE*
Financial Information (Applicant)
Current Occupation:* Current Employer or Business Name:*
COMPANY PHONE* Start Date: HOURLY INCOME*
HOURS PER WEEK*
Previous Occupation: Previous Employer or Business Name:
Position Held:
Years Employed:
Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income Source: HOURLY INCOME
Note: Alimony,child support or separate maintenance income need not be revealed.
Amount and Type of Loan Request
MAX DOWN PAYMNET*
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE IT`S VERIFICATION
AND THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY.

I understand any false or misleading statements in my application may cause any loan to be in default. I agree
that this application shall be this Institutions`s property whether or not this credit application is approved.
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