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Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Desired Vehicle

Year: Miles:
Make: VIN:
Model:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Additional Information

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I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Jeff Schmitt Auto Group
1001 N Broad Street
Fairborn, OH 45324
Email: Contact Us
Phone: (937) 878-3471
Toll Free: (877) 800-5333
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Jeff Schmitt Nissan, Inc.
725 Alpha Rd.
Beavercreek, OH 45433
Phone: (937) 878-3471
Email: Contact Us
Toll Free : (877) 800-5333
Jeff Schmitt Mitsubishi
1045 N. Central Ave.
Fairborn OH 45324
Phone: (937) 878-3471
Email: Contact Us
Jeff Schmitt Cadillac, Inc.
631 S. Orchard Ln.
Beavercreek, OH 45434
Phone: (937) 426-6401
Email: Contact Us
Toll Free: (877) 800-5333