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For use in recording basic information about current or potential customers.
Phone Number*Employer*Occupational Status*Which car (and year) are you interested in buying?*How long have you been at your current job? (If applicable)*TRN Number*Have you spoken to a loan officer regarding Financing?YesNoAre you eligible for and will be using duty concessions?Yes and will be using itYes but will not be using itNoWill you be making a deposit?YesNoIf yes what is the amount?*How much can you pay per month for the Motor Vehicle of choice?*$25,000 - $35,000$35,000 - $40,000$40,000 - $50,000$50,000 & OverWhat range does your Gross monthly income fall?*$60,000 - $79,000$80,000 - $89,000$90,000 - $109,000$110,000 - $130,000$130,000 & OverAre you presently servicing any other loans?*YesNoAre you currently serving any of the following?SelectMortgageMotor Vehicle LoanAny other loansN/AIf yes please state institution`s lame loan officer`s name and contact number*Do you have a driver’s license?*Yes I have a licenseBeing processedJust learners licenseNo drivers licenseIf yes how old is your license?*Do you have any delinquent loans?YesNoIf yes, please specifyCredit cardStudent loansMotor vehicle loansOtherWhen is a good time to call?Where did you hear about us?SelectInstagramFacebookJacarsAutoadsjaOthers