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Type Your Full Name To Authorize Credit Check

 

Please Read Before Submitting

 

Credit Report,
A credit report may be obtained in connection with this application, for extension of credit for which application was made. Upon request, I will be told if a credit report(s) was obtained, and given the name and address of the credit reporting agency providing the report(s).

Credit Investigation,
I authorize the dealer/Lender(s) to start a credit investigation, including verification of employment and income history from state records including State Employment Security Agency records, based on the information voluntarily provided by me which is true and correct, and reflects all my current debts.

By submitting this form, you agree to the above. If you do not, please do not submit this information.

 
By typing my name above, this certifies that the above information is true and complete to the best of my knowledge and serves as my electronic signature.
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