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3609 Vanderbilt Rd
Brimingham, AL 35217
Sales: 205-422-8330
205-234-5984
Office/Payments: 205-849-9000
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,
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and
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MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
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OH
OK
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OR
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PE
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NH
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AB
AL
AK
AZ
AR
BC
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CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Drivers License Exp:
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Email:
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3 Years
4 Years
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7 Years
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2 Months
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Residence Type:
Rent
Own
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Other
Rent/Mortgage:
Co-Buyer Employment Information
Employer:
Employer Type:
Full-Time
Part-Time
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Fixed Income
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Cash Income
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Work Phone:
Time on Job:
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1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
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1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Vehicle Information
Vehicle To Finance:
Select Vehicle to Finance
2016 Chevrolet Cruze Limited LT BLACK FWD Automatic Sedan 1.4L Gasoline H3216 4 Cylinders - H3216
2014 RAM 1500 SLT RED RWD Leather Trim Automatic Truck 5.7L Gasoline H3129 8 Cylinders - H3129
2014 Chrysler 200 TOURING BLACK FWD Automatic Sedan 3.6L Gasoline H2882 6 Cylinders - H2882
2013 Toyota Corolla BASE GRAY FWD Cloth Automatic Sedan 1.8L Gasoline H3148 4 Cylinders - H3148
2011 Mazda CX-7 BLACK FWD Automatic SUV 2.5L Gasoline H3204 4 Cylinders - H3204
2011 Ford Fusion SE SILVER FWD Cloth Automatic Sedan 2.5L Gasoline H3194 4 Cylinders - H3194
2010 Volkswagen New Beetle RED FWD Automatic Hatchback 2.5L Gasoline H3212 5 Cylinders - H3212
2009 Hyundai Sonata GLS BLACK FWD Automatic Sedan 2.4L Gasoline H3215 4 Cylinders - H3215
2006 Pontiac Torrent BLUE FWD 5-Speed Manual SUV 3.4L Gasoline H3153 6 Cylinders - H3153
2006 Chrysler 300 TOURING GRAY RWD Automatic Sedan 3.5L Gasoline H3211 6 Cylinders - H3211
2004 Toyota Camry LE WHITE FWD Cloth Automatic Sedan 2.4L Gasoline H3105 4 Cylinders - H3105
2004 Ford Expedition EDDIE BAUER BLACK RWD Automatic SUV 5.4L Gasoline H3213 8 Cylinders - H3213
2003 Ford Ranger WHITE RWD Automatic Truck 3.0L Gasoline H3202 6 Cylinders - H3202
2002 Jaguar X-Type SPORT 3.0 BLACK AWD Automatic Sedan 3.0L Gasoline H3114 6 Cylinders - H3114
2002 Ford Taurus SES BLUE FWD Automatic Sedan 3.0L Gasoline H3177 6 Cylinders - H3177
2000 Ford F-150 GREEN RWD Automatic Truck 5.4L Gasoline H3117 8 Cylinders - H3117
1999 Dodge Ram Van VAN WHITE RWD Automatic Van-Minivan 3.9L Gasoline H2829 6 Cylinders - H2829
1994 Chevrolet Corvette GREEN RWD Automatic Coupe 5.7L Gasoline H0653 8 Cylinders - H0653
1990 Chevrolet C/K 1500 K1500 GREY 4WD Automatic Truck 5.7L Gasoline H3111 8 Cylinders - H3111
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Additional Comments
ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".
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