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IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Previous Employment of last 5 yearsTotal Monthly Income (Gross)*Do You Have a Co-Signer?* Yes No Reference #1 - Name First Last Reference #1 - Email Reference #1 - Phone NumberReference #2 - Name First Last Reference #2 - Email Reference #2 - Phone NumberUpload Driver's License imageAccepted file types: jpg, gif, png, pdf, heic, heif, Max. file size: 25 MB.Additional FilesFiles requested by GEM Motors in coordination with your lease deal. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 25 MB, Max. files: 5. Which GEM broker are you working with?*-- Who are you working with? --Tony PetrosyanChris CartieriEd VartanianEmin NoorijanianElectronic Signature*by signing this, you are allowing access to your credit reportFair Credit Reporting Act Disclosure: By Signing this document you agree to the following: I certify that the information I have provided on this application is , to the best of my knowledge, complete and accurate. I have read the Privacy Policy and authorize that my credit report be obtained. I am 18 years of age or older with a valid drivers license. I understand that financial institution(s) will rely on this information to judge my credit worthiness, and will retain this application and information about me whether or not this application is approved. Further, I authorize an investigation of my credit and employment history, in conjunction with which my credit report(s) may be obtained from one or more consumer credit reporting agencies. I understand that false statements may subject me to criminal penalties. I further understand that the Dealer and/or the financial institution(s) that evaluate my application may require additional information. I/We understand that this application for credit will be submitted by the dealer to various financial institutions for evaluation.
