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Goldsboro Automotive
Honda of Goldsboro
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Personal Information
First Name:
*
Middle Name:
Last Name:
*
Address:
*
City:
*
State:
*
Zip:
*
Email:
*
Phone:
*
Financial Information
Social Security Number:
*
Date of Birth:
*
Employer:
*
Weekly Gross Pre-Tax Income:
*
Do you have written verification of this income?:
*
No
Yes
Other Income:
Do you have written verification of this income?:
*
No
Yes
Is there a joint applicant?:
*
No
Yes
I understand that I am submitting this form for the purpose of securing credit from Clayton Auto Outlet, a division of Honda and Hyundai of Goldsboro; I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained The Age of Majority. I authorize Clayton Auto Outlet to check my credit and employment history and to provide and/or obtain information about credit experiences with me.
Yes, I Agree
*
Vehicle of Interest
Condition:
New
Pre-Owned
Year:
Make:
Model: