| About Your Auto Loan |
| * Do you own or rent your home? |
| * Length of Time at Your Current Address |
| Monthly Rent/Mortgage Payment |
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* Are you presently employed? |
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| * Monthly Income Before Taxes |
| Length of Employment |
| Name of Present Employer |
| * Social Security Number |
| Type of Loan |
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* Have you declared bankruptcy in the past 7 years? |
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