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You may complete the boxes below if you have another job or other income to report.

Alimony, child support or other separate income need not be revealed if you do not wish to have this income considered as a basis for repaying this loan obligation.

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I understand that by signing this Loan Application I hereby permit LR Auto Sales, Inc. to access my EquiFax Credit Report. I understand the purpose is to verify my identity and the ultimate decision of the finance company is subject to a number of contributing factors.
LR Auto Sales, Inc. does not discriminate on the basis of age, gender, race, religious affiliation, mental or physical ability, veteran status, military obligation(s), or national origin.