Credit Application

Our Secure Credit Application

Credit Application

Vehicle Desired

Name

First

Last

Date Of Birth

Home Phone #

Cell Phone #

Home Address

City

State/Province

Zip/Postal

Social Security Number (SSN)

How long have you been living here?

Do you own or rent?

Own

Rent

Living with Family

Monthly Payments

Employment

Employer Name

Position/Title

Work Phone #

Work Address

City

State/Province

Zip/Postal

Gross Salary

Other Income

How long have you worked there?

Credit Card

TERMS, CONDITIONS & DISCLOSURE

By clicking “SUBMIT”, you submit and certify that all of the statements in this application are true and made for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward your application to lenders, financial institutions, or other third parties in order to process your application. We the Auto Dealer, may obtain information about you as described in this notice, which we handle as stated in our website privacy policy notice. If we are required to provide you our official company privacy policy, it will be given to you in person, by mail or if you consent to receive it electronically, by e-mail. This does not apply to information obtained in a non-financial transaction. All applicants must satisfy all lender criteria in order to obtain credit. Not all applicants, including pre-approved applicants, will qualify for a loan.By completing and submitting your request, you consent to having all legally required disclosures, notices, privacy policies and information (“Disclosures”) provided or made available to you in electronic form and to doing business with us electronically.We collect nonpublic personal information about you from the following sources: information we receive from you on applications or other forms in connection with a financial transaction, Information about your transactions with us, our affiliates, or others, and information we receive from a consumer reporting agency. We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

If you are human, leave this field blank.

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Credit Application Fee $395.00

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