Financing Application

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Application

Type of Application

Please Choose…(Required)

Individual Finance Application

Joint Finance Application

Vehicle Information

Condition

Year

Make(Required)

Model

Vehicle URL

Down Payment

Dealership Location(Required)

Your Contact Information

First Name(Required)

Middle Initial

Last Name(Required)

Date of Birth(Required)

Email(Required)

Phone(Required)

Work Phone

Social Security Number(Required)

Joint Applicant Contact Information

First Name(Required)

Middle Initial

Last Name(Required)

Date of Birth(Required)

Email(Required)

Phone(Required)

Work Phone

Social Security Number(Required)

Your Address Information

Street(Required)

Apartment

City(Required)

State(Required)

Zip Code(Required)

Do you Rent or Own your residence?(Required)

Landlord / Mortgage Holder

Monthly Rent / Mortgage Amount(Required)

Time at Current Residence(Required)

Previous Residence(Required)

Previous Street(Required)

Previous Apartment

City(Required)

State(Required)

Zip Code(Required)

Joint Applicant Address Information

Street(Required)

Apartment

City(Required)

State(Required)

Zip Code(Required)

Do you Rent or Own your residence?(Required)

Landlord / Mortgage Holder

Monthly Rent / Mortgage Amount(Required)

Time at Current Residence(Required)

Previous Residence(Required)

Previous Street(Required)

Previous Apartment

City(Required)

State(Required)

Zip Code(Required)

Employment Information

Place of Employment(Required)

Street

City

State

Zip Code

Occupation(Required)

Business Phone

Time at Current Employer(Required)

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.

Previous Employer

Street

City

State

Zip Code

Previous Occupation

Previous Employer Phone

Time at Previous Employer

Joint Applicant Employment Information

Place of Employment(Required)

Street

City

State

Zip Code

Occupation(Required)

Business Phone

Time at Current Employer(Required)

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.

Previous Employer

Street

City

State

Zip Code

Previous Occupation

Previous Employer Phone

Time at Previous Employer

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

References

Name(Required)

Phone(Required)

City(Required)

State(Required)

Name

Phone

City

State

Name

Phone

City

State

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.

Applicant Authorization(Required)

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Joint Applicant Authorization(Required)

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User Agent

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User IP Address

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Date