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I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.

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VanDevere Auto Outlet

3155 South Arlington Road

Akron, OH 44312

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Phone: (866) 469-6157

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Fax: (330) 253-1370