Verification

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PEPCars.com
PO Box 584
Grand Blanc, MI 48439

(810) 695-1329 Fax

Contact By E-Mail

PEPCars.com Credit/Lease Application
Please fill out this application as completely as possible. You will be contacted after your application has been processed.

	General Information
	Last Name:
	First Name:		Middle Initial:
	Business Name:
	Phone Number with Area Code:		() -
	E-Mail Address:
	Repeat E-Mail Address:
	Date of Birth:		/ /
	Social Security Number:
	Address Information
	Current Street Number:
	Current Street Name:
	PO Box Number:
	City, State:
	Zip Code:
	Status of Residence:		Own Rent Family Other
	Monthly Payment:		$
	Time At Address:		Years Months
	Employment Information
	Employer or Type of Business (For Business Applications):
	Occupation:
	Business Phone Number:		() -
	Gross Annual Income:		$
	Time Employed:		Years Months
	Military Rank:
	Image Verification:
	By submitting this application, I certify that the information in my application is complete and true. I authorize the dealer, G.M.A.C. C.O.L Trust (if this is a lease application), and Novell Credit Corp. (if this is a purchase application), or other lending institutions to investigate my credit and employment history, obtain credit reports, and release information about their credit experience with me as permitted by law. If an account is created, I authorize the obtaining of credit reports for purposes of reviewing or taking collection action on the account, or for other legitimate purposes associated with the account. CONSUMER NOTICES BY STATE Notice to California Residents: IF MARRIED YOU MAY APPLY FOR CREDIT SERATELY AS AN INDIVIDUAL. Notice to New Hampshire Residents: If you are applying for a balloon payment contract, you are entitled, if you ask, to receive a written estimate of the monthly payment amount for refinancing the balloon payment in accord with the creditor�s existing refinance programs. You would be entitled to receive the estimate before you enter into a balloon payment contract. A balloon contract is an installment sale contract with a final scheduled payment that is at least twice the amount of one of the earlier scheduled equal periodic installment payments. Notice to New York Residents: Consumer reports may be requested in connection with this application. Upon request, you will be informed whether or not a consumer report was requested, and if it was, of the name and address of the consumer reporting agency that furnished the report. Additional consumer reports may be requested with respect to any extension of this obligation. Notice to Ohio Residents: The Ohio laws against discrimination require that all creditors make equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio rights commission administers compliance with this law. Notice to Wisconsin Residents: The interest of the creditor will not be adversely affected by a provision of marital property agreement, a unilateral statement under Wisconsin Statutes 766.59 or a court decree under Wisconsin Statues 766.70, unless you furnish a copy of such agreement, statement, or decree to the creditor, or the creditor has actual knowledge of such provision before credit is granted. By agreeing to these terms I am submitting a digital signature to begin my credit application process, and I fully understand that submitting this application online is no different than submitting my application on paper.
	I agree to the above terms and conditions

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