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Application for Auto Repair
*All fields are required for completion of application.
APPLICANT: Please read the following before completing this form. You are applying for individual credit. Married applicants may apply for an individual account.
APPLICANT MUST: -LIVE WITHIN A 45 MILE RADIUS FROM LOUISVILLE, KY. - Min 1 Year at Employer. - Min 1 Year at Residence. -Have $1,200 minimum income -Must have Established Credit in good standing Please check here to confirm you meet these requirements.
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Please Select a Repair Facility Location
126 Breckenridge Lane
6309 Preston Highway
11696 Dixie Highway
Cell Phone Number
By submitting this Loan Inquiry Form, I/We acknowledge and certify for the purpose of obtaining credit from you and with the intent that you will rely heron and to induce you to extend said credit, that the information given herein is complete, true and correct and at this time I/We fully realize that you are relying upon this to extend credit to me/us. The applicant expressly authorizes Jefferson Financial Services to make inquiries of others concerning the foregoing information and to provide information arising out of the applicant's transactions with you to others. Any person or entity named herein is expressly authorized to furnish you with information in connection with this application. Your Social Security Number is required so we can access your credit report and shorten the approval process.
All loans are subject to our normal credit requirements and may be subject to the provision of acceptable collateral for the loan. All loans must be closed in the office located at 5618 Bardstown Road Louisville, KY. If you have an existing account with Jefferson Financial Services Inc., it will be refinanced and any unearned interest will be rebated in accordance with your original loan agreement.
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