Privacy Notice
In connection with your motor vehicle transaction, our dealership may obtain information about you as described in this notice, which we handle as stated in this notice.
We collect nonpublic personal information about you from the following sources:
We may disclose all of the information we collect, as described above, to companies that perform marketing services on our behalf or to other financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer.
We may also disclose nonpublic information about you as a consumer, customer or former customer to nonaffiliated third parties as permitted by law.
We restrict access to your nonpublic personal information to those employees who need to know the information to provide products or service to you. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
Customer Acknowledgment:
I(we) acknowledge that I (we) have read the above notice and agree to its contents by filling in our name and toady's date below.
Customer Name: Date: CO-Customer Name: Date:
Applicant, please note: Check your marital status below only if you a) live in a community property state such as California, or b) this is a joint application for secured credit. If you're married, you must answer all questions about your spouse (even if this is an application in your name alone) only if you live in a community property state or any property that will secure this loan is located in a community property state. All applicants shall have equal rights to use the accounts, and each applicant call be equally liable for changes made by any other.
A married person may apply for individual credit. If ou are applying jointly with a person other than your spouse for the credit requested, such other person(s) should complete a separate application. I am applying for (please check the appropriate box) Individual Individual with one or more CO-applicant (i.e., one parent or cosigner) Joint (applicant & spouse) Joint applicants with an individual and one or more CO-applicant.
If you live in a community property state you must provide your spouse's information below even though your spouse may not be signing this application and agreement.
Name (First, Middle Initial, Last, Generation)
Date of Birth (M/D/Y)
Has applicant or spouse ever obtained credit under a different name? Yes No If Yes, show name(s):
Present Street Address & Apartment Number (if applicable) City, State & Zip How Long? (Years & Months) Home Phone
Rent Own Mobil Home Living With Parents
Monthly Rent or Mortgage Payment Landlord or Mortgage Holders Name
Former Street Address & Apartment Number (if applicable) City, State & Zip How Long? (Years & Months)
Current Employer City, State & Zip How Long? (Years & Months) Business Phone Occupation (If Military, Rank, ETS)
Gross Monthly Salary: Other Income Source of Other Income Former Employer City, State, Zip How Long (Years / Months)
Nearest Relative Not Living With You Relationship Full Address Phone Number
Close Friend Phone Number Full Address
Type of Account #1 Savings Money Market Checking Institution/Bank Name
Type of Account #2 Savings Money Market Checking Institution/Bank Name
MAJOR CREDIT CARDS
MASTER CARD (M) Institution/Bank Name
VISA (V) Institution/Bank Name
AMERICAN EXPRESS Institution/Bank Name
OTHER CARD(S) Institution/Bank Name
DEPARTMENT STORE CREDIT CARDS
Store Name
TYPE OF OTHER CREDIT
AUTO Institution Name Monthly Payment
BANK Institution Name Monthly Payment
CREDIT UNION Institution Name Monthly Payment
I certify that the statements above, on the reverse, or on any attachment are true and complete. I understand that AHFC will be asked to buy the contract involved in this sales transaction, verify my employment, check my credit references with credit bureaus or others who may lawfully receive such information. I authorize AHFC to give a copy of this application to anyone who has agreed to pay debts incurred on the basis of this application. I authorized AHFC to communicate the reason(s) for action taken on this application to the dealer named above.
Has applicant or spouse voluntarily surrendered or had a vehicle, or any other item repossessed? Yes No
Has applicant or spouse ever been the subject of bankruptcy proceedings? Yes No
Can the credit references and/or history of applicant or spouse be verified in any other name? Yes No If Yes, what name?
Notice to Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
Notice for Married Wisconsin Residents: No agreement, unilateral statement or court decree relating to marital property adversely affects a creditor's interest unless prior to the time credit is granted the creditor is furnished a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision.
Notice to Illinois Residents: Residents of Illinois may contact the Illinois Commissioner of Banks & Trust Companies (800) 634-5452 for comparative information on interest rates, charges, fees and grace periods.
