| Applicant Information |
| First Name: * |
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Last Name:
* |
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| Address Street 1: * |
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| Address Street 2: |
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City:
Social:
Birthdate: * |
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| Zip Code: * |
(5 digits) |
| Best Time to Contact You: |
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| Do you Receive or Pay Child Support: |
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| Marital Status: Single? Married, Etc?: |
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| How Much Money do you for Down Payment: * |
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| Are you trading a vehicle?: |
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| Co-Applicant Information |
| First Name: |
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Last Name:
Social:
Birthdate: |
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| Contact Information |
| Daytime Phone: * |
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| Evening Phone: * |
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| Phone Type? Cell? Home?: |
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Email: *
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| Employment |
| Employer: |
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| How Long at Job? * |
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| Employer Phone: * |
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| If Not Employed for last 3 years please list last others below: * |
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| Other Employer: * |
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| Other Employer: |
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| Gross Monthly Income before Taxes: * |
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| Pay Type Salary or Hourly * |
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| Do you have a valid driver's license? * |
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| Have you ever filed for bankruptcy? * |
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| Have you ever had a repossession or foreclosure? * |
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| Are you currently financing a vehicle? * |
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| Do you have a Checking Account: * |
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| Residence |
| Property Type: |
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| Occupancy: * |
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| How Long: * |
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| Other Information |
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I authorize Sacramento Mint Auto Sales to verify
my credit and employment history. By submitting this application, I hereby certify that all statements are true and complete and submitted for the purpose of obtaining credit. In considering this application the loan officer may request and use reports from outside credit reporting agencies--this permission shall extend to Mint Auto Sales, Inc. as well as any Financial Lender in connection to obtaining a vehicle.
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