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Application Form

HomeApplication Form

APPLICANT INFORMATION

ADDRESS INFORMATION

PREVIOUS ADDRESS INFORMATION

EMPLOYMENT INFORMATION

FINANCIAL DETAILS

Do you own or rent your home? *
Do you have a co-signer? *

UPLOAD DOCUMENTS

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I, the main applicant, and/or co-applicant agree that the information inputted above on this application form is entered truthfully. I, the main applicant, and/or co-applicant authorize Empire Auto Sales and Leasing to submit my application form to the dealer/finance company to continue to lease/purchase process. You may receive a call from the Sales Department for further verification.

BY SIGNING, I CERTIFY THAT I HAVE READ AND AGREE TO THE TERMS AND DISCLOSURES ON THIS APPLICATION.
Do you agree to the above statement?

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Phone

+1(818)646-9922
+1(818)858-9292

Email

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Monday9:00 AM – 9:00 PM
Tuesday9:00 AM – 9:00 PM
Wednesday9:00 AM – 9:00 PM
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Sunday9:00 AM – 9:00 PM
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