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SECURE FINANCE APPLICATION

STATEMENT OF CONSENT
    1. I certify that the information provided by myself is correct. I understand that you will be checking with credit reporting agencies and running my credit. I authorize an investigation of my credit and employment history and the release of information about my credit history

      Please initial below to indicate that you agree to all of the above.

    1. ENTER NAME EXACTLY AS IT
      APPEARS ON DRIVERS LICENSE

HOUSING INFORMATION
    1. PROVIDE PREVIOUS ADDRESS BELOW (IF LESS THAN 2 YRS AT CURRENT ADDRESS):

INCOME
    1. PROVIDE PREVIOUS EMPLOYER BELOW (IF LESS THAN 2 YRS AT CURRENT JOB):

    1. PROVIDE SECOND EMPLOYER BELOW (COMPLETE IF YOU HAVE SECOND JOB):

MOTORCYCLE INFORMATION (BE SPECIFIC)

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