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Black Modern Car

Credit Application

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(347) 215-2290

158 Main Street Staten Island NY 10307

Applicant Information

Employment Information

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I (we) certify that the above information is complete and accurate. I (we) authorize an investigation of my (our) credit and employment history, and the release of any related information. I (we) authorize you to exchange credit information with other in connection with this application. I (we) have no outstanding obligations except as shown in this application, an no undisclosed lawsuits or judgments are entered against me (us).

Car Dashboard

Come visit us!

AND DRIVE AWAY WITH YOUR NEW CAR!

158 Main Street

Staten Island, NY 10307

Tel- 347-215-2290

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