Vene Auto Sales and Services

213 Worcester St. North Grafton MA 01536
Phone: (774)330-9044 Fax (774)293-1059



Borrower













Co-Borrower/ Co-Signer














I/We certify that all statements made in this application are true and correct to the best of my/our knowledge. I/We authorize you to obtain such information as you may require concerning the statements made in this application and agree that this application shall remain the property of the Lender whether or not the loan is granted
(*You are not required to reveal income from child support, alimony or separate maintenance payments to be considered as a basis for repaying this loan*)