Russell Brothers Application
Email address *
First, Middle and Last Name *
Your answer
In which vehicle(s) do you have an interest? *
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Co-Applicant (if you have a co-applicant or if you are the co-applicant, please tell us below, the name of the person you are applying with. Then make sure that both parties fill out an entire application)
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Home Address *
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City *
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State *
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Zip *
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Home number: *
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Social Security Number: *
Your answer
Date of Birth *
MM
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DD
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YYYY
Drivers License Number *
Your answer
Mobile Phone Number:
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I consent to receive text messages from Russell Brothers Auto Sales *
Required
Residence *
Required
How much do you pay in Rent / Mortgage *
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Residence Time (Length of continuous time at current full-time residence?) *
Your answer
Number of Residence Changes Last 3 Years *
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Time in Area *
Required
Length of Time at Current Job *
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Number of Primary Job Changes Last 2 Years (including your current job) *
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Type of Employment of Income Source *
Employer: *
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Employer Phone Number: *
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Employer Address:
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Name & Number of Immediate Supervisor: *
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Verifiable Monthly Gross Income (Do not include income that is not likely to continue) *
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Type of Good Car Credit *
Number of Times Repoed and explain *
Your answer
Are you trading in a vehicle (If so, give details) *
Your answer
What is the most you can put down, not including possible trade-in? *
Your answer
Reference (Name, Number and Relationship) *
Your answer
Reference (Name, Number and Relationship) *
Your answer
Reference (Name, Number and Relationship) *
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I certify via check mark below, that the above information is complete and accurate to the best of by 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. *
Required
Additional Comment
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