What type of vehicle are you looking for?
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Coupe
Hatchback
Sedan
Minivan
SUV & Crossover
Truck
What is your budget
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Under $400 / Month
$400-499 / Month
$500-600 / Month
Over $600 / Month
Do you have a trade in?
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Yes
No
Unsure
What is your estimated credit rating?
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Excellent (760-900)
Very Good (725-759)
Good (660-724)
Fair (600-659)
Poor (300-599)
No Credit / Unsure
What is your employment status?
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Employed
Self-Employed
Student
Retired / Pension
Other
What is your monthly income?
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$2000-$2500
$2501-$3500
$3501-$4500
$4500+
How long have you been employed at your current job?
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Less than 3 Months
3 Months - 2 Years
2+ Years
Company's Name
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Job Title
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Street Address
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City, Country
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Province
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Postal code
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Date of birth
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Full Name
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Phone (123-456-7890)
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Email (@)
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