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  United Auto Credit Application  
 
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Personal Information
  
  * Required Fields  
  * First Name:  
 
* Last Name:
  
 
* Social Security Number:
  
 
* Date of Birth (mm/dd/yy):
  
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Current Residence
    
     
 
* Street Address:
  
 
* City:
  
 
* State:
  
 
* Zip:
  
 
Time At Residence:
 yrs mos  
 
Home Phone:
  
 
Do you Own or Rent?
  
 
Monthly Payment:
  
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Previous Residence
    
     
 
Previous Street Address:
  
 
Previous City:
  
 
Previous State:
  
 
Previous Zip:
  
 
Time At Residence:
 yrs mos  
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Employer
    
     
 
Your Job Title:
  
 
Employer Name:
  
 
Employer Street Address:
  
 
Work Phone:
  
 
Time at Current Employer:
 yrs mos  
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Current Income
    
     
 
Salary:
  
 
Salary Type:
  
 
Other Income:
  
 
Source of Other Income:
  
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Previous Employer
    
     
 
Previous Employer Name:
  
 
Previous Job Title:
  
 
Time at Previous Employer:
 yrs mos  
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Reference
    
     
 
Reference Name:
  
 
Reference Relation:
  
 
Reference Street Address:
  
 
Reference Phone:
  
 
   
 
Important Privacy Information
  
 
As used in this paragraph" I", "me" and "my" refer to the applicant and co-applicant signing below, and "you" and "your" refer to financial institutions listed above and any financial institution or other financing source to whom this application for credit is submitted. I represent, warrant, and affirm that all of the statements made by me in this application are true and correct and have been made by me in order to induce you to grant credit to me with knowledge that you will rely on them, I reaffirm, represent, and warrant that I have no outstanding obligations to any bank, loan company, corporation or individual except as shown on this application and that no suits, judgments, or legal claims of any kind whatsoever are now pending against me unless I listed them. I agree that this application shall remain your property. I authorize you to order a consumer report from any consumer reporting agency and to exchange credit information with other in connection with this application. You may request and use subsequent consumer report, in connection with an update, renewal or extension of the credit or which this application is made. I hereby authorize you to check my credit and employment history and answer questions about your credit experience with me. By signing below, I consent to your sharing information you receive from and about me with your affiliates and others, including information that may be used to offer insurance. Investment products and other financial service to me.
  
    I Accept  
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