Financing

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David Darwin

Store Location*
Personal Information
*First Name:*Last Name:*Email Address:
david@holtcarsdfw.com
*Date of Birth:
MM/DD/YYYY		*Address:*City:
*State:*Zip:SSN:
(012-34-5678)
Phone:
(123-456-7890)		Time at residence:Residence Type:
rent, own
Rent or Mortgage:
Financial Information
Banking Type:
checking, savings, both		Financing Preferred:
purchase, lease		Loan Term:
in months
Amount Required:Time of Purchase:Down Payment:
Trading a vehicle:
yes, no		Year:Make:
Model:Model:Estimated Payoff:
Employment Information
*Employer:*Gross Monthly Income:*Occupation:
*City State Zip:*Work Phone:*Time on Job:
Other Income Source:Gross Amount:*Credit Rating:
1 poor, 5 excellent