What vehicle are you interested in?
Preferred Salesman:
any
Curtis Sternberg
Marty Oxford
Danny Borman
Jerry Gehlhausen
Jim Vonderheide
Jeff Collins
Dave Henke
Personal Information (Primary Applicant)
Address:
Time at current residence:
If at current residence for less than 2 years, please provide previous address:
Email:
Social Security Number:
Personal Information (Co-Applicant)
Address:
Time at current residence:
If at current residence for less than 2 years, please provide previous address:
Email:
Social Security Number:
Dwelling Information
Please Check one of the following:
Rent or Mortgage Monthly Payment
Education
Employer Information
Current Employer:
Address:
Employer Phone:
Current Position:
Gross Annual Income (before taxes):
If at current job for less than 2 years, please provide previous employment:
Address:
Employer Phone:
Position Held:
Gross Annual Income (before taxes):
Employer Information (Co-Applicant)
Current Employer:
Address:
Employer Phone:
Current Position:
Gross Annual Income (before taxes):
If at current job for less than 2 years, please provide previous employment:
Address:
Employer Phone:
Position Held:
Gross Annual Income (before taxes):
Banking Information
Name of Bank:
Please check all that apply:
Do you have any current auto loans?
Name of Creditor:
Will this vehicle be a trade-in?
Have you had any previous auto loans?
Name of Previous Creditor:
Have you ever had a vehicle or other item repossessed?
If yes, date of repossession:
Have you ever filed for bankruptcy?
Has the bankruptcy been discharged?
If yes, date of discharge:
Fair Credit Reporting Act Disclosure
By submitting this application, I understand you will be checking with credit reporting agencies and that the information provided by me is complete and accurate to the best of my knowledge. I also understand I may request in writing within a reasonable time a full disclosure report. Though this application will be forwarded to available financial institutions, I understand this does not obligate me in any way to use their financing source(s).
Privacy Notice
In connection with your transaction we may obtain nonpublic personal information about you and that information is handled as stated in this notice.
1. We collect personal nonpublic information about you from the following sources:
• Information we receive from you on applications or other forms;
2. We may disclose all the information we collect, as described above, to companies that perform marketing services or other functions on our behalf or to other financial institutions with whom we have joint marketing agreements.
3. We may also disclose nonpublic personal information about you, as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.
4. Further, we restrict access to your nonpublic personal information to only those employees who need to know that information to provide products or services to you. Employees cannot use your information for any other purpose. For your protection, we maintain physical, electronic and procedural safeguards that comply with federal regulations.
By clicking Submit you agree to the above statement and allow Sternberg, Inc. to check your credit. If you choose not please click Reset .
