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Auto Finance Qualification/Request Form

First name
Last name
Address
City
State
ZIP
Home phone
E-mail
How long at this address?	years (Note: most lenders/dealers require 1 yr minimum)
Rent or own?	Rent Own
Monthly payment
Date of birth	(Note: must be 18 or older)
Social Security #	(Note: enter it with dashes - e.g. 123-45-6789)
Employer name
Your job title
How long with this employer	years (Note: most lenders/dealers require 1 yr minimum)
Monthly income	(Note: usual minimum is $1,500)
Work phone
Declared bankruptcy in the last 7 years?	No Yes
Cosigner available (if needed)?	Yes No

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