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Fill out this short form to apply for a loan! By filling out this form, you are authorizing us to run a credit check on you. When you click the Send button, your information will be submitted securely. It will not be accessible by any outside parties and will only be accessed by our Finance Department.

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Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
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Other Income

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Contact Information

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* 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:

Additional Information

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Loan Information

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

Vehicle of Interest

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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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Poage Cadillac Buick GMC | Buick, Cadillac, GMC dealer – in Forsyth, Illinois | serving nearby Decatur – Home
Poage Cadillac Buick GMC
1500 Koester Drive
Forsyth, IL 62535
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Phone: 217-520-0858
Email: Contact Us
Fax: (217) 875-1980