Purchase/Lease Credit Application

SECTION A: Information Regarding Applicant


Employment



Alimony, Child Support, Separate Maintenance Income Need Not Be Revealed if You do not Wish to Have it Considered as a Basis for Repaying this Obligation

SECTION B: Information Regarding Spouse or Co-Applicant


Employment

(Cover 5 Years)


Alimony, Child Support, Separate Maintenance Income Need Not Be Revealed if You do not Wish to Have it Considered as a Basis for Repaying this Obligation

SECTION C: Asset and Debt Information: If Section B has been completed, this section should be completed giving information about both the Applicant and Co-Applicant.


Bank Account


Background


Military Duty


Personal Friends Known Over One Year


Driver's License, Insurance Card & Registration Information

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By clicking on the I AGREE button and typing in your name (which serves as an electronic signature), you are confirming 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 may obtain information about you as described in this notice, which we handle as stated in this privacy policy notice. This does not apply to information obtained in a non-financial transaction.

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 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 to guard your nonpublic personal information.

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Upon successful completion of this form, you will be directed to our confirmation page. If you are not redirected to our confirmation page, please scroll through this application and correct the omissions or errors which are highlighted in red text.