Applicant

 
 
 
 
 
 
 
 

Vehicle Information

 
 
 

Current address

 
 
 
 
 
 

Residence Information

 



 
 
 
 
 
Landlord or Mortgage Holder Information
 
 
 

Former Address

 
 
 
 
 
 

Current Employer

 
 
 
 
 
 
 
 

Credit History

 


 
 

References

 
First Reference
 
 
 
 
Secondary Reference
 
 
 
 

INCOMPLIANCE WITH THE FAIR CREDIT REPORTING ACT AUTHORIZATION

 
The above information is supplied by me and is correct. I hereby authorize Fusion AutoSales and their affiliated lending institutions to obtain information on my credit history. I understand that I have, within a reasonable amount of time, the right to make a written request to receive information about the information contained in my credit report.
 

 
NOTE: We cannot proceed unless all of the pertinent information is complete and Authorization is given.
 
 
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