Saturn of Rochester & West Ridge - Rochester NY Dealers- New and Used Cars

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E-Mail * : First Name, Middle Initial * : Last Name * :

Birth Date * : mm/dd/yy SS# * : Day Phone* Evening Phone*

Current Address:

Address * : City * : State * : Zip * :

Do you * : Years * : Months * : Monthly Payment * :

Employment:

* Company Name * : Occupation * :

Length of Employment: (Years) * : (Months) * : Gross Annual Income * :

Vehicle Interest:

New Used Year * : Make * : Model * :

I certify that all of the information provided in this application is complete and true and will be relied upon by the lender in making a credit decision. I hereby authorize the dealership or its agents to verify any information contained in this application and to obtain a report about me from one or more consumer reporting agencies. I understand that if this is an application for credit secured by real property, additional information may be required. I understand that additional information or verifications may be required for submission in connection with this application including hand-written signature. Financing arrangements are subject to approval and eligibility requirements. This form does not constitute an agreement to extend financing terms.

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Saturn of Rochester -- 770 Panorama Trail, Rochester NY (585) 586-6959 ● Saturn of West Ridge -- 4692 Ridge Road West, Spencerport, NY (585) 352-5995