203 North 7th St
Connellsville, PA 15425
724-603-3727
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Co-Buyer Previous Employer 4
Employer:
Employer Type:
Full-Time
Part-Time
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Fixed Income
Self-Employed
Cash Income
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
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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
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SD
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2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
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2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
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Vehicle Information
Vehicle To Finance:
Select Vehicle to Finance
2013 Volkswagen Passat 2.5L SE AT Gray Select Select Automatic Sedan 2.5L L5 Gasoline T3451 5 Cylinders - T3451
2013 Volkswagen Jetta SE Silver FWD Select Automatic Sedan 2.5L L5 DOHC 20V Gasoline t3457 5 Cylinders - t3457
2012 Volkswagen Passat 2.5L SEL White FWD Leatherette Automatic Sedan 2.5L L5 DOHC 2OV Gasoline T3454 5 Cylinders - T3454
2011 Volkswagen Jetta SE PZEV Silver FWD Leatherette Select Sedan 2.5L L5 DOHC 20V Gasoline T3450 5 Cylinders - T3450
2011 Kia Sorento EX V6 4WD Champagne AWD Leatherette Automatic SUV 3.5L V6 DOHC 24V Gasoline T3453 0 Cylinders - T3453
2011 Audi A4 2.0T Sedan quattro Manual Blue AWD Leather 6 Speed Manual Sedan 2.0L L4 DOHC 16V TURBO Gasoline T3341 4 Cylinders - T3341
2009 Volkswagen Passat Komfort Beige Select Leatherette Automatic Sedan 2.0L L4 DOHC 16V TURBO Gasoline T3452A 4 Cylinders - T3452A
Stock Number:
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IA
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KY
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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
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HI
ID
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IA
KS
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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
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WV
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WY
YT
Zip:
Phone:
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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