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Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Including alimony/child support/SSI

Source: Monthly Income:

Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Vehicle Information

* Year: Miles:
* Make: VIN:
* Model:

Additional Information

Message Text:
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I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Our lenders need a 3 year home and job history, if you have not lived or worked at the same place for 3 years or more, please include this information with a phone number in the text box above. Thank you~Tejas Kia
Tejas Kia
6802 S Padre Island Drive
Corpus Christi, TX 78412
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Phone: (800) 913-5814
Email: Contact Us
Fax: (361) 986-9286