Credit Application

Year: 2007
Ext Color: Black
Make: Lexus
Int Color: Tan
Model: SC 430
Buy It Now Price: $34995.00
Mileage: 30478
Contact: LuxSport Motor Group LLC
Stock #: 2007386
Phone: (516) 962-2443
VIN #: JTHFN45Y179013023
Is this to buy or lease?
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Down Payment/Trade-In:

Applicant Information

Personal information is used for vehicle loan approval only and not given out for any other purpose.

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Address 2:
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Date of Birth
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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:
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Other Monthly Income:
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Other Income Source:
Length of Employment: yrs mos

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Previous Employer if less than 5 years at current employer

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Other Comments

CUSTOMER ACKNOWLEDGEMENT: