(503) 252-2003
1205 SE 82ND AVE, PORTLAND, OR 97216

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Applicant Survey

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Applicant Information

Driver License Expiration Date

Time at Current Residence*

Your Rent/Mortgage Payments

Applicant Mother's Maiden Name
Applicant Employment Information

Time in Job

Applicant Additional Income Information
Applicant Relative Personal Information
Applicant Relative Personal Information #2
Applicant Relative Personal Information #3
Applicant Relative Personal Information #4
Applicant Relative Personal Information #5
Applicant Personal Friend Information
Applicant Personal Friend Information #2
Applicant Personal Friend Information #3
Applicant Personal Friend Information #4
Applicant Personal Friend Information #5
Applicant Survey

Did any Salesperson Help you?

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Disclosure

Company Info

Greg or Johnny
503-252-2003
82NDAUTOMALL@GMAIL.COM

82ND Auto Mall
1205 SE 82ND AVE
PORTLAND , OR 97216
82NDAUTOMALLLLC@GMAIL.COM

Phone: 503-252-2003
Fax: 5038949222

Opening Hours

9:30 am - 7 pm Monday
9:30 am - 7 pm Tuesday
9:30 am - 7 pm Wednesday
9:30 am - 7 pm Thursday
9:30 am - 7 pm Friday
10 am - 6 pm Saturday
10 am-6pm Sunday