Get Approved – LegendAutoSales

Full Name

Marital Status

Phone Number

Date of Birth

Dependents

Email Address

Residential Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Current Employer

Employment Duration

Gross Monthly Income

Position/Title

Employer Phone

Other Income Sources

Housing Status

Monthly Rent/Mortgage Payment

Length of Residence

Have you ever declared bankruptcy?

Have you ever defaulted on a loan?

Requested History and

Have any judgments ever been entered against you?

Requested Credit Amount

Checkboxes

I authorize the Legend Auto Sales Ltd to obtain my credit report and verify my creditworthiness. This may include contacting relevant parties such as employers and banks

Signature

Clear Signature

Date

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