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Guaranteed Credit Approval Application Form

*Guaranteed credit approvals are subject to a down payment in the form of cash or trade equity. Other requirements will be specified on an individual basis.

Please note that not every customer will qualify for every vehicle. Please fill out the form accurately and completely. Incomplete or incorrect information may delay or prevent your credit approval.

If you need help with this form, Please call (503) 998-1657 regarding our Credit Acceptance Program
or email: Acceptance@123WeChangeLives.com

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Customer Information
All fields are required.
________________________________________________________________

Primary Phone Number ( ) -

Email:

Last Name		First Name		MI

Mothers Maiden Name		Social Security #		Date of Birth
		- -

Address


City	State	Zip

How long at address?	Own/Rent?	Monthly Payment $

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Employment Information
All fields are required.
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Employer Name					Phone Number
					( ) -
Occupation					Hire Date

Monthly Gross Income (Before any deductions)
$ Please be as precise as possible.

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Bank Information
Please check "Yes" or "No" on each item.
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Savings Account		Checking Account		Direct Deposit
Yes	No	Yes	No	Yes	No

	PLEASE READ CAREFULLY. SUBMITTING THIS APPLICATION WILL ALLOW US TO OBTAIN YOUR CREDIT REPORT.
	By checking the box to the left, I certify that the above information is complete and accurate. In connection with this application, I authorize and give Drive Your Dream Inc my consent to obtain my credit report from any Credit Reporting Agency and complete an investigation of my credit and employment history and release information about my credit experience with Drive Your Dream Inc.
	By checking the box to the left, I certify that I have read, understand and agree to our Privacy Policy. Please call with any questions.

Changing Your Life

We want to help change your life. If you have been turned down for auto credit repeatedly, we are your answer YES!

Fill out the information sheet to the left to find out which cars are available to you and to begin the process of taking one home.

FAQ

What if I don't have a down payment?
Call for consultation.

What if my driver's license is suspended?
Call for consultation.

What makes you different than a normal bank?
We are paid based on your future payment success. Our patented model incentivizes us to make the loan truly affordable, and to give you a reliable vehicle. The better you make your payments, the better it is for everybody.

What will my interest rate be?
Interest rates on this program vary, and evaluated on a case-by-case basis. Interest rates range from 6.9% to 29.9%.

Can I expect a pre-payment penalty?
Never. This program is built to help you succeed, in which case everybody benefits.