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4565 W Nevso Dr
Las Vegas, NV 89103
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702-722-3212
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Monthly Mortgage / Rent Payment is required
Time at Current Residence
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Time at Previous Residence
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Mailing Address
Same Address as above
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Employment & Finances Info
Employment Status
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Monthly Income
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Monthly Income is required
Applicant Employer
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Applicant Employer is required
Position
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Position is required
Work Phone
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Please enter a valid Area Code for your Work Phone Number (first 3 digits)
Please enter a valid Work Phone Number (middle 3 digits)
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Time Employed
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Previous Employer
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Position is required
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Please enter a valid Area Code for your Work Phone Number (first 3 digits)
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Time Employed
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Adding a Co-Applicant
Are you applying Individually or Jointly?
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Individually or Jointly must be selected
Co-Applicant Info
First Name
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First Name is required
Middle Name
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If you have no middle name, please put space
Last Name
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Last Name is required
Date of Birth
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Date of Birth is required
Social Security #
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First 3 digits SSN is required
Middle 2 digits SSN is required
Last 4 digits SSN is required
Phone
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First 3 digits Area Cpde is required
Middle 3 digits Phone # is required
Last 4 digits Phone # is required
E-mail
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Driver License #
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Driver License # is required
State of Driver License
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Michigan
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Co-Applicant Current Address
Same Address as the Primary Applicant
Address
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Current Address is required
City
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City is required
State
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Please Select
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Alabama
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Arizona
California
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District of Columbia
Delaware
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Georgia
Hawaii
Idaho
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Indiana
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Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Stae must be selected
Zip
*
Please enter a valid Zip code (5 digits)
Housing Status
*
Please Select
I Rent
I Own
I live with Relatives
I'm in the Military
Other
Housing Status must be selected.
Monthly Mortgage / Rent Payment
*
$
.00
If Co-Applicant lives with Primary Applicant and has no monthly payment, please put "0"
Monthly Mortgage / Rent Payment is required
Time at Current Residence
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40
Years
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0
1
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3
4
5
6
7
8
9
10
11
Months
Time at Current Residence must be selected
Please fill out below if less than 2 years at present address.
Previous Address
*
Previous Address is required
City
*
City is required
State
*
Please Select
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
State must be selected
Zip
*
Please enter a valid Zip code (5 digits)
Housing Status
*
Please Select
I Rent
I Own
I live with Relatives
I'm in the Military
Other
Housing Status must be selected
Time at Previous Residence
*
--
0
1
2
3
4
5
6
7
8
9
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40
Years
--
0
1
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3
4
5
6
7
8
9
10
11
Months
Time at Previous Residence must be selected
Co-Applicant Employment & Finances Info
Employment Status
*
Please Select
Employed / Self-Employed
Retired
Not Employed
Homemaker
Student / Employed
Student / Not Employed
Employment Status must be selected
Monthly Income
*
$
.00
Monthly Income is required
Co-Applicant Employer
*
Co-Applicant Employer is required
Position
*
Position is required
Work Phone
*
Please enter a valid Area Code for your Work Phone Number (first 3 digits)
Please enter a valid Work Phone Number (middle 3 digits)
Please enter a valid Work Phone Number (last 4 digits)
Time Employed
*
--
0
1
2
3
4
5
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39
40
Years
--
0
1
2
3
4
5
6
7
8
9
10
11
Months
Time Employed is required
Please fill out below if less than 2 years at present employer.
Previous Employer
*
Previous Employer is required
Position
*
Position is required
Work Phone
*
Please enter a valid Area Code for your Work Phone Number (first 3 digits)
Please enter a valid Work Phone Number (middle 3 digits)
Please enter a valid Work Phone Number (last 4 digits)
Time Employed
*
--
0
1
2
3
4
5
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7
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40
Years
--
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11
Months
Time Employed is required
Additional Comments
ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
Please check the box to verify acknowledgment and consent.
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgment constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".
Please check the box to verify acknowledgment and consent.
By submitting this application, I am applying for credit with this dealership or a designated financing source, I certify that all information herein is true and complete, and I certify that I am the person named above. I authorize this dealership and any potential financing source to retain this application, to check and verify my credit, employment, and salary history. By using the dealers website, I authorize them to provide reports on the status of my credit application, including information concerning whether I pre-qualify for a loan, which lender's loan offer (if any) I choose to accept, whether my application for credit is denied, and whether I accept a loan from the specified lender.
Consent: I agree that by submitting this application, I authorize and give this dealership, as well as any potential financing source this dealership presents this application to, my consent to obtain my credit report from any credit reporting agency used to complete an investigation of my credit.
Credit Terms & Conditions
I AGREE
You must agree before submitting.
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