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Your Contact Information
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Email
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Phone
(Required)
Work Phone
Social Security Number
(Required)
Joint Applicant Contact Information
First Name
(Required)
Middle Initial
Last Name
(Required)
Date of Birth
(Required)
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
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8
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10
11
12
13
14
15
16
17
18
19
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29
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31
Year
Year
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2010
2009
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2003
2002
2001
2000
1999
1998
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1993
1992
1991
1990
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1985
1984
1983
1982
1981
1980
1979
1978
1977
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1972
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1953
1952
1951
1950
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1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
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Your Address Information
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Do you Rent or Own your residence?
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Own/Buying
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Other
Monthly Rent / Mortgage Amount
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Employment Information
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Gross Salary
Net Salary
(Required)
Other Income
**Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Joint Applicant Employment Information
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District of Columbia
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Michigan
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Ohio
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Rhode Island
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Tennessee
Texas
Utah
Vermont
Virginia
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Armed Forces Americas
Armed Forces Europe
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Zip Code
Occupation
(Required)
Business Phone
Time at Current Employer
(Required)
Select Years
0 Years
1 Year
2 Years
3 Years
4 Years
5 + Years
Time at Current Employer
(Required)
Select Months
0 Months
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
12 Months
Gross Salary
Net Salary
(Required)
Other Income
**Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Banking Information
Name of Bank
Account Types
Name of Bank
Account Types
Joint Applicant Banking Information
Name of Bank
Account Types
Name of Bank
Account Types
Name of Nearest Relative Not Living with You
Name
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Phone
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City
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State
(Required)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Nebraska
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New Hampshire
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New Mexico
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Ohio
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Rhode Island
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South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
(Required)
Privacy Statement
Introduction
As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do. Please take a moment to read this entire policy.
Collection of Information
Financing a Golf Car, Utility Vehicle, or Low-Speed Vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell you a Golf Car, Utility Vehicle, or Low-Speed Vehicle – extending you credit at your request – we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies.
Some of the information we obtain from you may be required by state of federal agencies, such as the Department of Motor Vehicles or the Internal Revenue Service. This information may be required even if you were to pay cash for your vehicle. Examples would be a driver’s license or social security number.
Protecting Your Information
We safeguard nonpublic personal information according to established industry standards and procedures. We maintain physical and electronic safeguards that comply with state and federal law. We restrict access to nonpublic personal information about you to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.
Information Sharing
We may share information:
A)
For everyday business purposes, such as to process transactions, maintain account(s), respond to court orders and legal investigations, or report to credit bureaus.
B)
For purposes of processing a sale transaction at your request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract.
C)
When using outside service providers to help us provide you with products and services. Before providing information to our service providers we enter into contractual agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.
D)
With “Affiliated” companies. Companies that are affiliated with us include any company that controls us, any company we control, or any company under common control with us. I am interested in purchasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me.
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