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Auto Mob LLC

Loan Application and Authorization Form

Address: 3343 Peachtree Rd NE

Suite 145 PMB 2627

Atlanta, Georgia 30326

SECTION 1: APPLICANT INFORMATION

(Please check one)

Birthday
Month
Day
Year

Section 2: Employment / Business Information

Employer / Business Name:


Section 3: Vehicle Information (Optional)

Section 4: Consent and Authorization

I, the undersigned, hereby authorize Auto Mob LLC, its representatives, agents, or assignees, to: 1. Submit my application and financial information to lenders and financial institutions for the purpose of obtaining a loan on my (or my business’s) behalf; 2. Obtain and review my personal and/or business credit report and credit history from one or more credit reporting agencies; 3. Communicate with lenders and negotiate terms and rates that may be in my best interest; 4. Collect and store my information for the sole purpose of facilitating this transaction in accordance with applicable privacy laws. I understand that this application does not guarantee loan approval. I certify that the information provided is true and correct to the best of my knowledge.

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Auto Mob LLC

3343 Peachtree Rd NE

Suite 145 PMB 2627

Atlanta, Georgia 30326 US

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