Varney Ford Logo40 Years Servicing Maine, 1-800-613-3673
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Varney Ford
Rt. 7, Newport ME, 04953
Phone: (207) 368.4300
Fax: (207) 368.4547
Toll Free: 1.800.613.3673

Sales Hours:
Mon. - Fri. 8 AM - 6 PM
Sat. 8 AM - 5 PM

Service Hours:
Mon. - Fri. 7:30 AM - 5 PM
Closed SAT. & SUN.

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» On-Line Credit Application

Please fill in this brief form so that we can help you with your purchase of a vehicle.

Name:
First Name MI Last Name
E-mail Address:

Date of Birth:
mm/dd/yyyy
Physical Address:
Street/PO Box
City, State Zip Code
Mailing Address:
Check here if Same as Above
Street/PO Box
City, State Zip Code
Previous Address:
(Complete if at Current Address for Less than Two Years)
Street/PO Box
City, State Zip Code
Please Check One: Own my own home Rent Buying
Payment:
Home Phone:

SSN:
Collected Privately
Time at Residence:
 Months  Years
Current Employer:
Previous Employer:
(Complete if at Current Employment for Less than Two Years)
Gross Monthly Income:
Time There:
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Amount Applying For:
CO-BORROWER  
Name:
First Name MI Last Name
E-mail Address:

Date of Birth:
mm/dd/yyyy
Physical Address:
Street/PO Box
City, State Zip Code
Mailing Address:
Check here if Same as Above
Street/PO Box
City, State Zip Code
Previous Address:
(Complete if at Current Address for Less than Two Years)
Street/PO Box
City, State Zip Code
Please Check One: Own my own home Rent Buying
Payment:
Home Phone:

SSN:
Collected Privately
Time at Residence:
 Months  Years
Current Employer:
Previous Employer:
(Complete if at Current Employment for Less than Two Years)
Gross Monthly Income:
Time There:
 Months  Years


I agree that all the information in this credit application is complete and true, whether completed by me/us or by you at my/our direction. During the review of my/our credit application, you may obtain my/our credit history, and employment history, and if the application is approved, you may at any time obtain additional credit histories to review my/our account. I/We have the right to ask you for the name and address of the credit bureau which gave the credit history. I/We also give any other source permission to obtain credit information about me/us.

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