Auto Maniacs
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APPLICATION
*
Indicates required field
Name
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First
Last
Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Date of Birth?
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Driver License #
*
Last 4 digits of social? (At Checkout you will reverify.)
*
Employer?
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How long with current employer?
*
Current Salary?
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How soon do you need a car?
*
Choose One
Last Week - ASAP
2 Weeks
1 Month
AUTO MANIACS LLC WILL GUARANTEE YOU INTO A VEHICLE. SOME RESTRICTIONS APPLY. THIS WILL INCLUDE BUT NOT LIMITED TO INCOME, WILLING AND ABLE TO PAY, LEASE, RENT, FINANCE, IDENTITY, VERIFICATION, AND TIME OF THE ESSENCE.
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