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Lannie Auto Sales101 Hwy 61 South Hayti, MO 63851 Phone/Fax 573 359-2220Name________________________________________Birth Date _____/_____/_________Social___________________Address __________________________________________City ______________________State________Zip_________Cell Phone _________________________________Home Phone ____________________________________Circle one: RENT, OWN, PAYMENT, LIVE WITH FAMILY/FRIEND – How long have you lived here? ______yrs ______monthsHouse Payment or Rent Amount________Can you get a copy of your home phone bill at this addresss_______________Bills that you get at this address WATER, ELECTRIC, TV, GAS CELL RENT_______________________________________If less than 2yrs at the above address please list the one before this one.__________________________________________________________________________________________________Employment:Who do you work for ?__________________________________phone _______________________how long__________How much per hr ?___________ How many hrs do you work _______1 wkTrade inYear ___________make/ model________________ how many miles?__________________ prior salvage title?_________Do you owe on this car ? __________to whom?_____________________________________How much can you put Down ____________________how much of a payment can you pay?__________________By Submitting this application, I certify that all this information herein is true and complete. I authorize Lending institutions and participating dealer to retain this application, to rely on the foregoing, to check and verify my credit, employment and salary history.By Signing this agreement, you authorize us to provide reports on the status of your application, including information concerning whether you pre-qualify for loan, which lender’s loan offer (if any) you choose to accept, whether your application for credit is denied whether you accept a loan from that lender. Lenders included but not limited to: Wells Fargo, Freedom Financial services, Ally Bank, Westlake Finance, Auto Finance, American credit acceptance, , 1st State Bank and Trust, Focus Bank, Bank Star or the Bootheel, and any other lending institution that may be willing to provide credit for auto purchase.** Applicant Sign ________________________________________________________________Date ________________ ................
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