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RC AUTO SALES CREDIT APLICATION

First name

Status

Unmarried

Married

Last name

Address

City

State

Zip Code

How long

Birthday

Month

Day

Year

Phone

Driver License #/ ID #

TYPE

ID Expiration

Month

Day

Year

SSN

Mortage/ Rent Payment

Own

Rent

Monthly Amount

Employer Name/ If self employed: Name of Business

How Long Employed

Employer Address

City

State

Zip Code

Position

MonthlySalary$

Bussines Phone

Other source of income

Amount $

#1 Reference (people who knows you)

Address

Phone

Relationship

#2 Reference (people who knows you)

Address

Phone

Relationship

#3 Reference (people who knows you)

Address

Phone

Relationship

Credit Reference

Phone

ID Front upload

ID Back upload

Signature

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Date

Month

Day

Year

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