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Bryan Cardwell - Sales
Credit Manager - Billings

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Chad Randash - Bozeman
Kevin Maroney - Sales
Credit Manager - Bozeman

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11/23/2024 12:14:24 PM MDT
Request Buy Here Pay Here Financing
Please fill out all required information and click the "Send Financing Request" Button to apply for financing with Randash Auto.

Desired Vehicle Type Stock Number
Cash for Down Payment Do you have a vehicle to trade?
Trade Vehicle Year Trade Vehicle Make
Trade Vehicle Model Trade Vehicle Mileage
Trade Vehicle Condition Amount Owed

Primary Applicant
Last Name First Name Initial
Address Address 2
City State Zip
Home Phone Cell Phone
Birth Month Birth Day Birth Year
Soc. Sec. Number Email Address
Time at Address # of Dependants Own or Rent

Rental or Mortgage information

Rental Information:
Landlord Monthly Rental Payment
Mortgage Information:
Mortgage Company Payment Balance

Previous Address
Address Time at Previous address
City State Zip

Other Monthly Expenses
Utilities Credit Card Payments
Insurance Other Monthly Expenses

Current Employer
Employer Name Address
City State Zip
Phone Start Date
Title/Position Supervisor Sup. Phone
Gross Income Per
Other Income Per Other Income Source

Previous Employer
Employer Name Position How Long?

Co-Applicant      (Please leave this section blank if you are the only applicant)

Last Name First Name Initial
Address Address 2
City State Zip
Home Phone Cell Phone
Birth Month Birth Day Birth Year
Soc. Sec. Number Email Address
Time at Address # of Dependants Own or Rent

Co-Applicant Rental or Mortgage information

Rental Information:
Landlord Monthly Rental Payment
Mortgage Information:
Mortgage Company Payment Balance

Co-Applicant Previous Address
Address Time at Previous address
City State Zip

Co-Applicant Current Employer
Employer Name Address
City State Zip
Phone Start Date
Title/Position Supervisor Sup. Phone
Gross Income Per
Other Income Per Other Income Source

Co-Applicant Previous Employer
Employer Name Position How Long?

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