Welcome to Motor City Auto auction

Please fill out the credit application form below

First Name	:	*
Last Name	:	*
Email	:	*
Social Security	:	*
Birthday	:	*
Address	:	*
City	:	*
State	:	*
Zip Code	:	*
Home Phone	:	*
Time at Residence	:	*
Residence Type	:	*
Rent/Mortgage	:	*

Financing Information
Pre Qualify for similiar listing if out of stock?	:	*
Financing Preferred	:	*
Loan Term	:
Amount Required	:
Down Payment	:
Trade-in Vehicle	:
Year	:
Make	:
Model	:
Mileage	:
Estimated Payoff	:

Employment Information
Employer	:	*
Gross Monthly Income	:	*
Occupation	:	*
City	:	*
State	:	*
Zip Code	:	*
Work Phone	:	*
Time on Job	:	*
Other Income Source	:
Gross Amount (Other Income)	:

ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

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