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2014 Kia Forte BLACK FWD Automatic Sedan 1.8L 097460 4 Cylinders - 097460
2013 Ford Explorer Base FWD BLACK FWD Automatic SUV 3.5L A62117 6 Cylinders - A62117
2013 Chrysler 200 Touring SILVER FWD Automatic Sedan 2.4L 509836 4 Cylinders - 509836
2013 Chrysler 200 Touring GRAY FWD Automatic Sedan 2.4L 763753 4 Cylinders - 763753
2011 Kia Sorento LX 2WD BLACK FWD Automatic SUV 2.4L 110719 4 Cylinders - 110719
2011 Ford Focus SE Sedan BLUE FWD Automatic Sedan 2.0L 172373 4 Cylinders - 172373
2010 Nissan Sentra 2.0 SILVER FWD Continuously Variable Sedan 2.0L L647113 4 Cylinders - L647113
2010 Honda Accord Crosstour EX-L 2WD 5-Spd AT WHITE FWD Automatic SUV 3.5L 008830 6 Cylinders - 008830
2010 Ford Taurus SEL FWD SILVER FWD Automatic Sedan 3.5L 145420 6 Cylinders - 145420
2010 Ford Escape XLT FWD GOLD FWD Automatic SUV 3.0L B89450 6 Cylinders - B89450
2009 Toyota Corolla Base 4-Speed AT BLACK FWD Automatic Sedan 1.8L 008845 4 Cylinders - 008845
2008 Kia Rio Base ORANGE FWD Automatic Sedan 1.6L 6309705 4 Cylinders - 6309705
2008 Ford Focus SE Sedan BLACK FWD Automatic Sedan 2.0L W100956 4 Cylinders - W100956
2005 Chevrolet Silverado 1500 Work Truck Ext. Cab Short Bed 4WD GREEN 4WD Automatic Truck 5.3L 204092 8 Cylinders - 204092
2002 Dodge Ram 1500 SLT Plus Short Bed 2WD BLACK RWD Automatic Truck 3.7L 178154 6 Cylinders - 178154
Stock Number:
Year:
Make:
Model:
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Vin:
Mileage:
Bank Information
Checking Account:
Account Number:
Bank Name:
Address 1:
Address 2:
City:
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Financing Information
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Trade-In Information
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Trade Make:
Trade Model:
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Trade Payoff:
Trade Payoff Good Through:
Lien Holder Address 1:
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AR
BC
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CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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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.
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