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Application   

Name:______________________________________________________________________________

Address:____________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

SS#: ___________________________________________________ Date of Birth:________________

Phone#:_________________________________________________ Years at Address:____________

Employment information

Company:___________________________________________________________________________

Address:____________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

Phone#:_________________________________________________ Years Employed:____________

Supervisor:_______________________________________________ Hours of Work:______________

Personal references ( Three required )

1 ) Name:___________________________________________________________________________

Address:____________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

Phone#:_________________________________________________ Relation:___________________

2 ) Name:___________________________________________________________________________

Address:___________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

Phone#:_________________________________________________ Relation:___________________

3 ) Name:___________________________________________________________________________

Address:___________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

Phone# :_________________________________________________ Relation:___________________

Spouse or Co-Signer

Name:______________________________________________________________________________

Address:____________________________________________________________________________

City/State: ________________________________________________ Zip Code:_________________

SS#: ___________________________________________________ Date of Birth:________________

Phone#:_________________________________________________ Years at Address:____________

Place of Employment :________________________________________________________________

Address of Employment :______________________________________________________________

City & State of Employment :___________________________________________________________

Phone # of Employment :______________________________________________________________

Are You Currently Financing a Car?               Yes                  No

If Yes, Balance Owed : $_______________________________________

Name of Dealership :__________________________________________

Any Current Insurance or Parking Violations at MVA?        Yes         No

Is Your Maryland Drivers License Currently Suspended?     Yes        No

Under Contract with Classic Used Cars and Leasing Company Incorporated, I, the Purchaser, Understand that upon Default of My Contract, I do give Classic Used Cars and Leasing Company Incorporated Permission to get a Credit Report from any Credit Bureau.

 

Applicants Signature :____________________________________

Co-Applicants Signature :_________________________________

 

 

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