Credit Application

Name:
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Address:
Landlord/Mortgage Holder:
Previous address:
Landlord/Mortgage Holder:

EMPLOYMENT INFORMATION

Employer address:
Please choose:

Previous employer

Previous employer address:
Please choose:

MORTGAGE COMPANY

I/we certify that the information inserted above are true. I/we authorize Bos Auto and/or any lender, bank, broker, dealer, company, or person to whom this application might be sent to verify the information provided on this form as to my credit and employment history, and may obtain and disclose credit and flnancial information about me/us to any credit reporting agency or credit bureau, financial institution, companies, or person with whom !/we have financial dealings. I/we also agree to paying Bos Auto Corporation $999 finance fee Plus application taxes upon approval of my/our application
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