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Full Name		Date of Birth	[MM/DD/YYYY]	Email
Address		SSN#	[111-11-1111]
Address 2
City		State	Zip
Telephone
Home		Work		Other
Best Time to Call
Employment
Employer		Gross Monthy Income
Employer Phone		Length of Employment	Days Months Years
Vehicle Information
Year	2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990	Price Range	Select One Under $5,000.00 $5,000.00 - $10,000.00 Over $10,000.00
Make	ACURA ALFA ROMEO AM GENERAL AMERICAN (AMC) ASTON MARTIN AUDI AVANTI II B M W BENTLEY BERTONE BUICK CADILLAC CHEVROLET CHRYSLER DAEWOO DAIHATSU DATSUN DATSUN/NISSAN DELOREAN DODGE EAGLE EXCALIBUR FERRARI FIAT FORD GEO GMC HARLEY DAVIDSON HARLEY DAVIDSON/BUELL HONDA HYUNDAI INFINITI ISUZU JAGUAR JEEP KIA LAFORZA LAMBORGHINI LAND ROVER LEXUS LINCOLN LOTUS MASERATI MAZDA MERCEDES-BENZ MERCURY MERKUR MINI MITSUBISHI NISSAN OLDSMOBILE PANOZ PEUGEOT PLYMOUTH PONTIAC PORSCHE RENAULT ROLLS-ROYCE SAAB SATURN STERLING SUBARU SUZUKI TOYOTA TRIUMPH TVR VOLKSWAGEN VOLVO YUGO	Down Payment
Model
Trade In Information
Year	2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990	Make	ACURA ALFA ROMEO AM GENERAL AMERICAN (AMC) ASTON MARTIN AUDI AVANTI II B M W BENTLEY BERTONE BUICK CADILLAC CHEVROLET CHRYSLER DAEWOO DAIHATSU DATSUN DATSUN/NISSAN DELOREAN DODGE EAGLE EXCALIBUR FERRARI FIAT FORD GEO GMC HARLEY DAVIDSON HARLEY DAVIDSON/BUELL HONDA HYUNDAI INFINITI ISUZU JAGUAR JEEP KIA LAFORZA LAMBORGHINI LAND ROVER LEXUS LINCOLN LOTUS MASERATI MAZDA MERCEDES-BENZ MERCURY MERKUR MINI MITSUBISHI NISSAN OLDSMOBILE PANOZ PEUGEOT PLYMOUTH PONTIAC PORSCHE RENAULT ROLLS-ROYCE SAAB SATURN STERLING SUBARU SUZUKI TOYOTA TRIUMPH TVR VOLKSWAGEN VOLVO YUGO	Model
YES, I clearly understand that I am giving AUTOLOCATOR, INC. permission to obtain a consumer credit report and to inquire via other parties to verify the information and credit information herein supplied. The information gathered is to initiate the process of purchasing or leasing a vehicle and AUTOLOCATOR.COM has a legitimate business need for the consumer credit report to complete the transaction if credit is granted.