Saturn of Harrisonburg | Financing

Saturn of Harrisonburg

Financing

Credit Application Download, Print and Bring!
Personal Information
Name
Home Phone [xxx xxx xxxx]
Email
Birthdate [mm dd yyyy]
Social Security # [xxx xx xxxx]
Current Address
Own Rent Live with Relatives
Previous Address
Have you ever filed for bankruptcy or been subject to judgments or collections? No Yes
Do you have a checking or savings account? Yes No
Name of Bank
Employment and Income Information
Employer
Work Phone
Work Address
Occupation
How Long?
Annual Salary
Comments
Additional Comments

**Co-Applicant Information - * Note: Click here if you wish to use a co-applicant**

Co-Applicant Name
Co-Applicant Home Phone [xxx xxx xxxx]
Co-Applicant Birthdate [mm dd yyyy]
Co-Applicant Social Security # [xxx xx xxxx]
Co-Applicant Current Address
Co-Applicant Employer
Co-Applicant Work Phone
Co-Applicant Work Address
Co-Applicant Occupation
How Long?
Co-Applicant Annual Salary
Do you have a checking or savings account? Yes No
Name of Bank

Terms of Use In connection with your transaction, this dealership may obtain information about you as described in this notice, which we handle as stated in this notice. We collect non-public personal information about you from the following sources: Information we receive from you on applications or other forms; Information about your transactions with us, our affiliates, or others; and Information we receive from a consumer reporting agency. We may disclose all 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 a joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer. We may also disclose non-public personal information about you as a consumer, customer, or former customer to non-affiliated third parties as permitted by law. We restrict access to non-public 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 non-public personal information.
This information is accurate to the best of my knowledge. By checking the "I agree" box below and submitting this e-mail, I acknowledge that I have read the Terms above and that I give Saturn of Harrisonburg the authority to check my credit and employment history for the purpose of securing credit.
I Have Read the Terms Above