QUICK CREDIT APPLICATION

DeMaagd Nissan
333 W Dickman Road
Battle Creek, MI 49037
269-963-5538
demaagdnissan.com
This 256-Bit Secure Online Credit Application is for this company to collect information from you so they can obtain your credit score and get auto-financing for you through one of their lenders. The more accurate and detailed information you provide the better auto-financing obtained.
APPLICANT
 
PERSONAL INFORMATION
First Name: 
Last Name: 
Name Suffix: 
Email Address: 
Day-time Phone: 
Mobile Phone: 
Work Phone: 
Birth Date (dd/mm/yyyy): 
Social Security#: 
 
CURRENT ADDRESS
Address: 
City: 
State: 
Zip Code: 
 
COMMENTS:
OPT-IN REQUIRED: 
 
By submitting this form to DeMaagd Nissan, 333 W Dickman Road, Battle Creek, MI 49037, 269-963-5538, you certify that the information provided is complete and accurate to the best of your 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 you to criminal penalties. You authorize the creditors to obtain credit reports about you on an ongoing basis during this credit transaction and to check your credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, you authorize the creditor to give credit information about you to its affiliates.
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