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Hi, Co-Buyer! Tell us about yourself.

*First Name

*Last Name

*Phone #

Email Address

How do you know the buyer?

Tell us about where you live.

Address 1

Address 2 (if applicable)

City

State

How long have you lived here?

Tell us about where you work.

Company

City

State

Work Phone #

Monthly Income (Take Home)

How long have you worked here?

Describe your job and what you like best about it.

By submitting this information, I certify that all information that I have provided is true and complete. I agree that I am completing this information for Bankers Autos and acknowledge that my information may be shared pursuant to Bankers Autos' privacy policy, if applicable. I hereby authorize Bankers Autos, and any financial institution engaged as a service provider by Bankers Autos, to retain this information and to check and verify employment, salary history, and my credit.

*Buyer's Signature

*Buyer's Printed Name

*Co-Buyer's Signature

*Co-Buyer's Printed Name

Name:
Preferred Contact:	Email Phone
Email:
Phone:
Offered Price:
Financing Required:
Other Comments/Conditions:
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Name:
Preferred Contact:	Email Phone
Email:
Phone:
Best Day:
Best Time:
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Name:
Preferred Contact:	Email Phone
Email:
Phone:
Questions/Comments:
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