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Credit Application

Personal Information

Birthday
Month
Day
Year
Driver's License Issue Date
Month
Day
Year
Driver's License Expiry Date
Month
Day
Year

Residential Information

Years at Address
Under 1 Year
Under 3 Years
5+

Employment Information

Interested Vehicle

Do you owe money on your trade-in?
Yes
No

By clicking "Submit", I, the undersigned, (a) for the purpose of securing credit, certify the below representations to be correct; (b) authorize financial institutions, as they consider necessary and appropriate, to obtain consumer credit reports on me periodically and to gather employment history, and (c) understand that we, or any financial institution to whom this application is submitted, will retain this application whether or not it is approved, and that it is the applicant's responsibility to notify the creditor of any change of name, address, or employment. We and any financial institution to whom this application is submitted, may share certain non-public personal information about you with your authorization or as provided by law.


I consent to be contacted by the dealer at any telephone number or Email I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgment constitutes my written consent to receive such communications. I have read and agree to the Privacy Policy of this dealer.

COME VISIT US & DRIVE AWAY WITH YOUR NEW WHEELCHAIR ACCESSIBLE VAN!
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2074 CLIFF GOOKIN BLVD

TUPELO MS 38801

Tel: 662-871-6052

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