Miller's Auto Sales Credit Application
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Tell us which vehicle you would like to purchase. *
First Name *
Last Name *
Date of Birth *
Home Address (Road, City, State, and Zip Code) *
Social Security Number *
How long have you lived at your current residence? *
Personal Phone Number *
Employer Name *
Work Phone Number *
Gross MONTHLY Income  (Before taxes) *
How long have you been with your current employer? *
Do you have a down payment? If so, how much?
What is your desired maximum monthly payment?
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