714-625-9521
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1138 W. Chapman Ave.
Orange, CA 92868
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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
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1910
Social Security Number
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Driver's License
Employment Information
Employer
Occupation
Supervisor
Business Phone
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Employment Start Date
January
February
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State Zip
state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Residence Move-in Date
January
February
March
April
May
June
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
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2014
2013
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2011
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1925
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
15 Audi A3 2.0T Premium $12,488
05 BMW 3 Series 330Ci $8,988
18 BMW 3 Series 340i $21,988
14 Chevrolet Camaro LS $12,988
17 Chevrolet Camaro LT $16,888
19 Chevrolet Equinox Premier $15,988
18 Chevrolet Silverado 1500 $17,488
15 FIAT 500 $6,988
18 Ford F-150 $16,988
08 Ford Fusion SE $6,988
19 Ford Transit Connect Wagon XLT $19,988
11 Honda Civic Sedan LX $7,988
16 Honda Civic Sedan LX $14,488
12 Honda CR-V EX $11,988
15 Honda CR-V LX $14,888
20 Honda Ridgeline RTL-E $22,488
18 Hyundai Santa Fe Sport 2.4L $13,488
20 Hyundai Tucson $16,988
21 Jeep Grand Cherokee $23,488
14 Kia Rio $8,988
05 Land Rover Range Rover HSE $12,488
14 Lexus RX 450h AWD 4dr $19,488
16 Mazda CX-5 Grand Touring $14,888
14 MINI Cooper Hardtop 2dr Cpe $7,988
18 Nissan Altima $15,488
08 Nissan Titan $11,988
21 Nissan Versa SR $14,988
17 Ram 1500 2WD Tradesman Crew Cab $13,488
19 Subaru Forester Premium $16,988
18 Subaru Outback Premium $15,988
22 Subaru WRX Premium $24,988
12 Tesla Model S $17,988
05 Toyota 4Runner $9,988
98 Toyota 4Runner SR5 $6,988
17 Toyota Corolla $14,988
15 Toyota Tacoma 2WD PreRunner Double Cab $15,988
12 Volkswagen Beetle $8,988
15 Volkswagen Passat $10,488
13 Volkswagen Tiguan $8,888
Comments / Questions
Terms : I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.