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Jay's Used Cars L.L.C.
           3820 Lawrenceville Hwy
               Tucker, Ga. 30084
      Phone: 770-496-0339    Fax: 770-496-0773

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Tucker, GA 30084
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Electronically submitting this application hereby authorizes the selling dealer or Finance Company to initiate a credit investigation based upon the above information, which has been voluntarily provided by myself, and warrants the truth and accuracy of this information. The applicant understands the credit investigation cannot be completed without the appicants social security number. The applicant further warrants that a bankrupcy proceeding is neither presently in progress nor anticipated. 
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