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Personal Information

* Last Name

* First Name

Middle Name

Suffix

Identity

* Birth Date

* SSN

Driver's License #

DL State

Contact

Home Phone

Cell Phone

Work Phone

* Email

Family / Education

Marital Status

Number of Dependents

Education

Residence Information

Current Address

Street

City

State

Zip

Length (Years)

Length (Months)

Previous Address

Street

City

State

Zip

Length (Years)

Length (Months)

Ownership Information

Ownership Type

Lender Name

Balance

Monthly Payment

Income Information

Gross Earned Income (Monthly)

Alimony/Child Support

Other Income

Employment Information

Current Employer

Employer Name

Phone

Occupation/Position

Street

City

State

Zip

Length (Years)

Length (Months)

Previous Employer

Employer Name

Phone

Occupation/Position

Personal Reference

Nearest Living Relative (Last Name)

First Name

Primary Phone

Bank Reference

Account Type

Bank Name

Address

Account No.

Credit Reference

Account Type

Creditor Name

Account No.

Balance

Current Vehicle Finance/Lease Information

Lender/Lease Name

Account No.

Balance

Monthly Payment

Contact Info

Sales:

208.991.2224

Service:

208.991.4951

Email:

shawng@goodlifemotors.net

Hours:

Sales

Mon - Fri | 10AM - 7PM

Sat | 10AM - 5PM

Sun | Closed

Service

Mon - Fri | 8AM - 5PM

Sat | Closed

Sun | Closed