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1138 W. Chapman Ave.
Orange, CA 92868
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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
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Social Security Number
-
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Driver's License
Employment Information
Employer
Occupation
Supervisor
Business Phone
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Employment Start Date
January
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State Zip
state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Residence Move-in Date
January
February
March
April
May
June
July
August
September
October
November
December
2024
2023
2022
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2020
2019
2018
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Residence Status
Rent
Own
Military Housing
Live with Relatives
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
16 Acura ILX $14,988
15 Acura ILX Premium Pkg $11,488
17 Audi Q5 AWD 2.0T quattro Premium Plus 4dr SUV $15,888
13 BMW 3 Series 328i xDrive $11,888
16 Chevrolet Camaro LT $16,588
17 Chevrolet Equinox LS $14,788
04 Chevrolet Silverado 1500 4dr Extended Cab Work Truck 4WD SB $10,588
18 Dodge Charger $23,488
14 Ford Explorer Limited $14,488
10 Ford F-150 $15,988
15 Ford Flex SEL $9,388
19 Ford Mustang $23,888
11 GMC Acadia SLT1 $8,988
11 GMC Yukon 4x2 SLE 4dr SUV $9,988
14 GMC Yukon XL SLT $15,988
10 Honda Accord Sedan EX-L $11,888
16 Honda Accord Sedan LX $13,188
17 Honda Civic Sedan EX-T $11,488
18 Honda Odyssey EX-L $24,988
16 Hyundai Accent 4-Door SE $8,988
17 Hyundai Accent 4-Door SE 4dr Sedan 6M $8,388
13 Hyundai Genesis 3.8L $9,288
20 Hyundai Veloster $16,788
14 Kia Rio LX 4dr Sedan 6M $7,788
14 Kia Soul Base $6,788
05 Land Rover Range Rover HSE $13,488
13 Lexus CT 200h Hybrid $13,488
13 Lexus ES 350 4dr Sdn $15,988
12 Mazda CX-9 Touring Touring 4dr SUV $8,988
15 Mazda Mazda3 Sedan i Sport $9,488
17 Mercedes-Benz C-Class C 300 $17,488
16 Mercedes-Benz SLK SLK 300 $22,988
14 MINI Cooper Countryman S $8,988
14 MINI Cooper Hardtop 2dr Cpe $8,888
12 Nissan Murano S 4dr SUV $7,588
05 Pontiac Montana SV6 w/1SB Pkg $6,488
18 Ram 1500 2WD Big Horn Crew Cab $21,988
19 Ram 1500 Classic 2WD Tradesman Reg Cab $25,988
17 Subaru Outback Premium $15,988
19 Toyota Camry $19,988
06 Toyota Prius 5dr HB $8,488
06 Toyota Prius 5dr HB $7,588
Comments / Questions
Terms : I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.
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