Secured Credit Application - Waynesville
APPLICANT INFORMATION
Applicant First Name *
Applicant Last Name *
Date Of Birth:*
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Social Security # *
Driver's License No:
State *
Expiration Date:
2020
2021
2022
2023
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2026
2027
2028
2029
2030
2031
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Month
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Day
01
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Marital Status
Single
Married
Street Address
City*
State*
Zip
Years Lived At Current Address
Total Monthly Housing Expense
Residential Status
RENT
OWN
Home Phone *
Mobile Phone *
E-Mail *
EMPLOYMENT INFORMATION
Employer Name *
Occupation *
Self Employed?
NO
YES
Work Address *
City *
State / Province *
Zip *
Work Phone No. *
Employed For How Long? *
Income/Month(Pre-Tax) *
Other Income:
Other Income Source:
PERSONAL REFERENCE
Name*
Street Address
City/Town *
State / Province *
Country Code / Zip
Phone No.
Relationship
VEHICLE DESIRED
Year *
Make *
Model *
Down Payment
TERMS AND CONDITIONS
All the information I have given in this application is true and correct. I also authorize Waynesville Cycle Center to receive information on my credit. This application may be sent to AHFC, GE, Bank of America, HSBC, Sheffield, or any other lender associated with Waynesville Cycle Center in an attempt to obtain credit on my behalf. This application will remain secured by Waynesville Cycle Center. PRIVACY POLICY COLLECTION OF INFORMATION The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a 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 third parties such as employers, references and insurance companies. Some of the information we obtain from you may be required by the state or federal agencies, such as the Department of Motor Vehicles or the Internal Revenue Service. This information may be required ever 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 to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees 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 Unless we have indicated our desire to share your nonpublic personal information with non-affiliated third parties by checking the box in the section below, we share information: a As permitted by federal or state law. b For purpose of processing a sale or lease transaction as you request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract or verifying insurance coverage information. 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 then 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 have read the above and acknowledge receiving a copy of this privacy policy:
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