Credit Application

Year: 2024
Ext Color: White
Make: Ford
Int Color: Black
Model: F-350 Super Duty
Buy It Now Price: $105614.00
Mileage: 26
Contact: Dan Russell
Stock #: 1B0604
Phone: (216) 273-6307
VIN #: 1FT8W3BM1RED86155
Email: [email protected]
Is this to buy or lease?
If lease, miles per year:
Trade in:
Down Payment/Trade-In:

Applicant Information

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Address 2:
Last Name:
City:
Social Security #:
State:
Date of Birth
Zip:
Email Address:
Residence Status:
Home Phone:
Monthly Rent/Mortgage:
Mobile Phone:
Length at Residency: yrs mos
Driver's License Number:
Driver's License State:
Driver's License Expiration

Previous Address (if less than 2 years at current address)

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Address 2:
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Employment Information

Employer:
Employer City:
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Other Monthly Income:
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Other Income Source:
Length of Employment: yrs mos

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Other Comments

CUSTOMER ACKNOWLEDGEMENT: