Dealership Loan Application Dealership Information Dealership Name Dealership Email Dealership Phone Customer Details First Name Last Name DOB Social Security Phone (Cell) Email Address Arizona How long at your current address? Less than 6 months 1 year 2 years 3+ years Own or Rent? Own Rent Live with other(s) Who do you live with? Monthly Payment Employment History Employer Job Title Phone How long at primary job? Less than 6 months 1 year 2 years 3 years 4 years 5+ years Arizona Next Pay Date Pay Schedule Daily/Weekly Bi-Weekly Twice a Month Monthly Direct Deposit? Yes No Bank Name Type Checking Account Debit Card Pre-Paid Debit Reference (not living with you — relatives preferred) 1st Reference 2nd Reference 3rd Reference 4th Reference By Submitting this Application you agree to the following: If we are unable to reach you, you authorize us to contact the references you have provided to obtain updated contact information for you. I give the information on this application for the purpose of obtaining credit and certify that all information contained herein is complete and accurate. I authorize Presto Title Loans to obtain a credit report, income, residence, credit history, personal references, and verification of employment. Submit
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