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PRIMARY CONSUMER CREDIT APPLICATION

At Graham Werner Toyota you can get your credit process started immediately.
Just fill in the appropriate information in this form and you're well on your way to driving the Toyota you always wanted. Please note: All questions must be filled out to process your request.

LAST NAME
FIRST NAME / MIDDLE INITIAL /
EMAIL
DATE OF BIRTH / NUMBER OF DEPENDANTS / 
PHONE NUMBER (HOME)
FAX NUMBER
PRESENT ADDRESS
CITY / STATE / POSTCODE
YEARS LIVED AT PRESENT RESIDENCE
PREVIOUS ADDRESS
CITY / STATE / POSTCODE
PRESENT EMPLOYER
EMPLOYER'S PHONE NUMBER
EMPLOYER'S TITLE OR OCCUPATION
EMPLOYER'S ADDRESS
CITY / STATE / POSTCODE
YEARS OF SERVICE
NET MONTHLY INCOME
PREVIOUS EMPLOYER
PREVIOUS EMPLOYER'S PHONE NUMBER
YEARS OF SERVICE
RESIDENTIAL STATUS Home Owner    Buyer    Renter    Other
LANDLORD NAME
(If you are currently Renting)
Please note that by submitting this form you give your authorisation for Privacy Act, Credit Reference Check.
QUESTIONS OR COMMENTS
*Please fill in as many details as possible*