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Personal Information
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First Name*
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Middle Initial
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Last Name*
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Birthdate*
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(MM/DD/YY)
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Social Security Number*
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(123-45-6789)
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Street Address*
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City*
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State*
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Zip Code*
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(5 digits)
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Time at Address
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Years
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Months
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Residential Status
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Monthly Payment
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Contact Information
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Home Phone*
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(include area code)
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Cell Phone
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(include area code)
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Best Time To Call*
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Email Address*
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Employment Information
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Employer Name*
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Employer Phone*
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Employer Address
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Employer City
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Employer State
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Job title
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Time at job
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Years
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Months
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Gross Monthly Income
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(before taxes)
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Bank Information
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Name of Bank
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Checking Account?
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Savings Account?
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Direct Deposit?
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Current Vehicle Information
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Trade-in?
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(If No, skip to
Your Preferences)
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Year
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Make
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Model
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Body Style
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Mileage
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Exterior Condition
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Interior Condition
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Mechanical Condition
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Is it paid off?
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Who do you make your payments to?
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How much is the payoff balance? (approximately)
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Your preferences
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What type of vehicle would be your first choice?
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What would be a comfortable monthly payment for you?
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Have you ever had auto financing in your name before?
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How much cash for down payment?
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Comment Section
Please type any other information or comments you have here:
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| Please read this disclaimer and check this box before submitting your application.* |
I understand that my credit will not be investigated without speaking to a Finance Manager first. I agree to provide this information for the sole purpose of trying to obtain an auto loan, and I understand my information is private and confidential. No information will be given to any parties not affiliated with St. Charles Public Auto Auction, LLC, and the information will be used only to process the application for auto loan approval. |
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