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ONLINE CREDIT APPLICATION

Welcome to the Sarchione online credit application. All required fields are denoted with *

First, a couple of questions about the vehicle you are interested in:

*Year:
*Make:
*Model:
*New or used? New
Used
Stock ID:
Down Payment:

Okay, now we need some information about you. Please remember that all of your personal information is secure and will NEVER be shared with any third party companies.

*Full Name:
*Social Securty Number:
*Drivers License Number:
*Date of Birth:
*Address:
*City:
*State:
*Zip Code:
*Home Phone:
Cell Phone:
*E-mail Address:
*How long have you lived at your current address?
*Do you rent or own your place? Rent
Own
*What is your rent or mortgage amount?

Alright, now for your employment information.

*Employer:
*Are you self employed? Yes
No
*Job Title:
*Work Phone:
*Length of Employment:
*Approximate Gross Income:
If you have any additional income, please put the amount here:
And now the source of that income:
*I agree to the credit check terms and conditions.

Copyright 2006 Sarchione Auto Sales. 22155 State Rt 62 Alliance, OH 44601. (330) 823-9033. Site designed by ACR Computers. Staff