Brian's Auto Sales
Calhoun, GA
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Inventory
Online Credit Application
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Online Credit Application
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Print out your application and fax in at 706-625-1854 or complete online form below
Credit Application
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Name
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First
Last
Phone Number
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Date of Birth
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Address
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Address (2)
City
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State
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Zip Code
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Do you Rent or Own?
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Rent
Own
How long have you lived there?
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How Much is Rent/Mortgage?
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Full Name & Phone Number of 2 Nearest Living Relatives
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Income Information
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Employed
Fixed Income
No Income
Income Amount (Per check, after taxes)
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Source of Income / Name of Employer
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Employer Address
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Employer Phone Number
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Date you were hired
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How often are you paid?
Full Name & Phone Number of 2 Credit References (not family)
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Does anyone 16 years or older live in this home besides you? Please list names and ages.
Have you ever filed for Bankruptcy (Chapter 13 or 7)?
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Yes, Chapter 7
Yes, Chapter 13
No
If yes, when did you file and when were you released?
Have you ever applied for credit with Brian's Auto Sales? (If yes, when?)
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Have you ever purchased a car with Brian's Auto Sales? (If yes, what and when?)
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How Did You Hear About Us?
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Referred
Online – Google or Facebook
Driving Past
Who referred you (if referred)?
Terms & Conditions
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I have read and agree to the following Terms & Conditions.
I certify the information below to be complete and realize a representative from Brian’s Auto Sales will contact me for my Social Security /Liscense number and Birthday. I certify that the above information is complete and correct. In addition, I authorize Brian’s Auto Sales, Inc. to contact me in writing, by e-mail, or using pre recorded voice message, text messages, automatic dialing systems, to the extent not prohibited by law. I also agree that Brian’s Auto Sales may contact me at any address or telephone number I provide, even if it is a mobile phone number and I am charged for it by my service provider. Brian’s Auto Sales may monitor or record my dealings with them, including telephone conversations. I agree to the terms of Brian’s Auto Sales, Inc. Privacy Policy, and know I may Opt out of e-mail at any time. I authorize and consent to Brian’s Auto Sales, Inc. , investigating my credit, including obtaining information from a credit reporting agency or agencies; contacting me electronically (i.e. email, text, chat); calling me, including my cell phone and doing so through the use of technology such as a dialer; and recording any calls with me for quality assurance purposes. Thank you for trusting in Brian’s Auto Sales to meet your vehicle and financing needs!
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