Monday - Friday: 10 AM - 6:00 PM -- Saturday: 10 AM - 7 PM -- Sunday: Closed
2127 Dixie Hwy Hamilton, OH 4501
513-748-9332
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Financial Application
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Employment Information:
Employer State
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Alabama - AL
Alaska - AK
Arizona - AZ
Arkansas - AR
American Samoa - AS
California - CA
Colorado - CO
Connecticut - CT
Delaware - DE
District of Columbia - DC
Florida - FL
Georgia - GA
Guam - GU
Hawaii - HI
Idaho - ID
Illinois - IL
Indiana - IN
Iowa - IA
Kansas - KS
Kentucky - KY
Louisiana - LA
Maine - ME
Maryland - MD
Massachusetts - MA
Michigan - MI
Minnesota - MN
Mississippi - MS
Missouri - MO
Montana - MT
Nebraska - NE
Nevada - NV
New Hampshire - NH
New Jersey - NJ
New Mexico - NM
New York - NY
North Carolina - NC
North Dakota - ND
Northern Mariana Islands - MP
Ohio - OH
Oklahoma - OK
Oregon - OR
Pennsylvania - PA
Puerto Rico - PR
Rhode Island - RI
South Carolina - SC
South Dakota - SD
Tennessee - TN
Texas - TX
Trust Territories - TT
Utah - UT
Vermont - VT
Virginia - VA
Virgin Islands - VI
Washington - WA
West Virginia - WV
Wisconsin - WI
Wyoming - WY
How often are you paid:
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ACKNOWLEDGMENT AND CONSENT
I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I HEREBY AUTHORIZE THIS DEALER TO RETURN THIS APPLICATION AND TO CHECK AND VERIFY MY EMPLOYEMENT AND SALARY HISTORY. BY SUBMITTING THIS APPLICATION, I AUTHORIZE THIS DEALER, AS THEY CONSIDER NECESSARY AND APPROPIATE, TO OBTAIN REPORTS ON MY EMPLOYMENT HISTORY IN ORDER TO DETERMINE FINANCING ELEGIBILITY.
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