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Title:
First Name:	M.I.
Last Name:
Suffix:

Drivers Lic. #:
Social Sec. #:	- -
Birth Date:

Home Phone #:	- -
Email Address:

Residence
Street Number:
Direction: [North,West,etc.]
Street Name:
Unit Type: [Apt.,Suite,etc.]	Unit #:
City:
State:
Zip Code: [Postal Code]

By clicking 'Accept / 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 or
allow direct electronic access, 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 this privacy
policy notice. This does not apply to information obtained in a
non-financial transaction.1. 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.2. 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.3. 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.

Privacy Policy	Re-access my Application
Electronic Disclosure	En espa�ol
Federal Notices	Powered by Dealercentric

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