103 W. Hurst Blvd
Hurst, TX 76053
817-282-0102
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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
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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
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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
2021
2020
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1921
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
05 Acura MDX Touring $7,995
06 Cadillac SRX $8,995
09 Chevrolet Aveo 5dr HB LT w/1LT $6,995
98 Chevrolet C/K 1500 Reg Cab 117.5 WB 4WD $7,500
07 Chevrolet Cobalt LS $5,995
10 Chevrolet Cobalt LT w/1LT $5,995
12 Chevrolet Impala LS Retail
13 Chevrolet Impala LTZ $8,995
14 Chevrolet Impala Limited LT $9,995
05 Chevrolet Suburban 4dr 1500 LS $8,995
08 Chevrolet TrailBlazer 2WD 4dr Fleet w/2FL $8,995
04 Chevrolet TrailBlazer 4dr 2WD LT $5,995
08 Chrysler Sebring Touring $8,995
12 Dodge Grand Caravan SXT $9,995
10 Ford Escape FWD 4dr Limited $8,995
05 Ford Escape Limited $5,995
08 Ford Escape Limited $7,995
10 Ford Focus Sedan SE $7,995
07 Ford Fusion SE $6,995
07 Honda Accord Sedan LX SE $6,995
08 Honda Civic Coupe EX $6,995
03 Honda Pilot EX $6,995
09 Honda Pilot EX-L $8,995
08 Hyundai Sonata 4dr Sdn V6 Auto SE $8,995
08 Kia Amanti $7,995
11 Kia Sedona 4dr LWB LX $6,995
12 Kia Soul 5dr Wgn Auto + $8,995
06 Kia Sportage 4dr LX V6 Auto $7,995
07 Mazda CX-7 FWD 4dr Grand Touring $8,995
06 Mercedes-Benz C-Class Sport $8,995
06 MINI Cooper Hardtop $7,995
05 MINI Cooper Hardtop S $8,995
08 MINI Cooper Hardtop S $7,995
15 Mitsubishi Mirage 4dr HB Man DE $6,995
08 Pontiac G6 GXP $8,995
06 Pontiac Torrent $8,995
15 Scion xB 5dr Wgn Man $8,995
06 Subaru Forester 2.5 X w/Premium Pkg $6,995
03 Volvo V70 2.4L Turbo $5,995
08 Volvo XC90 AWD 4dr V8 Sport $8,995
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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