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Sales Hours: Monday: 9:00AM - 8:00PM Tuesday: 9:00AM - 6:00PM Wednesday: 9:00AM - 6:00PM Thursday: 9:00AM - 8:00PM Friday: 9:00AM - 6:00PM Saturday: 9:00AM - 3:30PM Sunday: Closed
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Phone Number

330-372-4000
Email

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Primary Customer Information:
First Name:

Last Name:

Address:

City:

State:

Zip Code:

Home Phone:

Employer's Name:

Work Phone:

Email Address:

Social Security Number:

Date of Birth:
(Example - 09/07/61)

Co-Signer Customer Information:
First Name:

Last Name:

Address:

City:

State:

Zip Code:

Home Phone:

Employer's Name:

Work Phone:

Email Address:

Social Security Number:

Date of Birth:

(Example - 09/07/61)

Loan Information:
Contact Method:
Home Phone Work Phone Email

Best Time To Reach You:

Employment Status:

Job Title:

Employed at your Current Job:
Years:
Months:
Family's Total Monthly Income ($):

Planned Down Payment ($):

Desired Monthly Payment ($):

Current Residence:

Time At Current Residence:

Current Rent or Mortgage Payment ($):

Current Banking Accounts:

Rate your "Credit History":

Desired Vehicle Information:
Purchase Date:

Primary Interest:
New Used Both

Authorization:
In order to finish our loan review, we need to review your credit history.
It is very important to have your authorization.

YES - I give you authorization to pull my credit and submit to lender for approval.
NO - I do not give you authorization to check my credit.

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which might help us, use the space below. If all of the information is accurate, press the submit button.

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