test validation
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*Date (mm/dd/yy):
*Name (First M. Last):
*Address:
*City, State:
,
*Zip:
*Daytime Phone Number
*Evening Phone Number
*Vehicle Year
*Vehicle Make/Model
*Original Loan Date
*Current Loan Balance
*Auto Loan Term
*Current Interest Rate
*Current Monthly Payment
Estimated Value of the Vehicle
Current Mileage of the Vehicle
Current Lender
Number of Payments Remaining
Comfortable Payment Amount
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