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2500 Mall Drive, Duluth, MN 55811

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Sales: (218) 727-2905 |

Service: (218) 727-2905 |

Parts: (218) 727-2905 |

1 Contact info
2 Vehicle Info

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Monthly Rent/Mortgage*

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Social Security #*

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Occupation*

Employer Name*

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This is the date you started your employment

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Any source outside of your full-time employment in which you receive a regular (dependable) income from

Additional Income (Monthly Amount)

The amount of money you make from your additional income source

I agree to give permission for the above applicant Consumer Credit Report(s) to be obtained, at no cost to me, in order to help determine the types and extent of financing which are available*

Vehicle of Interest

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Loan Information

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Trade-In Info

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In connection with your transaction, Krenzen Nissan may acquire information about you as described in this notice, which we handle as stated in this notice.

We may collect personally identifiable information such as name, postal address, telephone number, e-mail address, social security number, date of birth, etc. This personal information is collected and used by Krenzen Nissan Credit Application staff for the purpose of facilitating a relationship or business transaction.

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