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Automotive credit application
Personal information
Email address *
Agreement to run credit. By providing the last four of my social security number, I hereby agree that I am authorizing Lo-Rizon Motors to run my credit application for potential approval for an automotive loan.  *
Your answer
Which Vehicle are you interested in? *
Required
Full Name *
Your answer
Social Security Number *
Your answer
Phone number with area code *
Your answer
Monthly Income amount? *
Your answer
Housing information. Do you: *
Required
How much do you pay for Rent/Mortgage? *
Your answer
Monthly bills amount? *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Driver's License Number *
Your answer
Driver's License Expiration Date *
MM
/
DD
/
YYYY
Current home address, city, state, zip code? *
Your answer
How long have you lived at your address? *
Required
Employer Address, city, state zip code *
Your answer
Employer Phone number (area code first) *
Your answer
What is your title at work? *
Your answer
How long have you been employed there? *
Required
Employer contact person first and last name *
Your answer
Employer phone number with area code? *
Your answer
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