4921 North Dixie Hwy
Deerfield, FL 33064
954-531-6383
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MA
MB
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MS
MO
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NH
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MA
MB
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MT
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NH
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ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
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NE
NH
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NL
NM
NS
NT
NU
NV
NY
OH
OK
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PR
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KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
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NE
NH
NJ
NL
NM
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NV
NY
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ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
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SC
SD
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VT
VA
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HI
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IL
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IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
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SC
SD
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ID
IL
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IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
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KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
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PE
PR
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SD
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HI
ID
IL
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IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
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SC
SD
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CA
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GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
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SC
SD
SK
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UT
VT
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WA
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HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
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Complete if you've been at your current Employment for less than 2 years.
Employer:
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HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
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HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
QC
RI
SC
SD
SK
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Employer:
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2022 Honda Civic LX Sedan CVT Black FWD Cloth Automatic Sedan 2.0L L4 DOHC 16V 528250 0 Cylinders - 528250
2022 Ford Transit 250 Van White RWD Cloth Automatic Van-Minivan 3.5L V6 DOHC 24V A24122 0 Cylinders - A24122
2021 Volkswagen Passat S White FWD Cloth Automatic Sedan 2.0L L4 DOHC 16V 004911 0 Cylinders - 004911
2021 Mercedes-Benz GLC-Class GLC300 Black RWD Leather Automatic SUV 2.0L L4 DOHC 16V TURBO 313605 0 Cylinders - 313605
2021 Chevrolet Equinox LS 2WD White FWD Cloth Automatic SUV 1.5L L4 DOHC 16V TURBO 154305 0 Cylinders - 154305
2020 RAM 1500 Classic Tradesman Regular Cab LWB 2WD White RWD Leather Automatic Truck 5.7L V8 OHV 16V 152083 0 Cylinders - 152083
2018 Hyundai Elantra SE Auto Blue FWD Cloth Automatic Sedan 1.8L L4 DOHC 16V 271150 0 Cylinders - 271150
2017 Nissan Versa 1.6 S 5M Silver FWD Cloth Manual Sedan 1.6L L4 DOHC 16V l880742 0 Cylinders - l880742
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ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my 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.
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".
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