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CREDIT APPLICATION

Welcome to Colonial Heights Auto Center, Inc. credit application page.

If you are ready to secure your financing, simply fill out the application below and click the Submit Button at the bottom. Colonial Heights Auto Center, Inc. will go to work securing a loan for you right away!

All fields listed in RED are necessary in order for the form to be sent.

Applicant Personal Information
Co-Applicant?
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip Code:
Previous Address:
Previous City:
Previous State:
Previous Zip Code:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Social Sec. #:
Date of Birth:


Applicant Residence Information
Residence Type: own rent
How Long Here?
How Long at Prior Residence?


Applicant Employment Information
Employer:
Employer Phone:
Time With Current Employer:
Monthly Income (gross):
Current Job Title:
Previous Employer:
Prev. Employer Phone:
Time With Previous Employer:
Monthly Income (gross):
Previous Job Title:


Desired Vehicle Information
Do you have a desired vehicle? Yes No
Year of Vehicle:
Make of Vehicle:
Model of Vehicle:


Trade-In Information
Do You Have a Trade-in? Yes No
Year of Vehicle:
Make of Vehicle:
Model of Vehicle:
Payoff Amount:


Other Information
Dollar Amount Available for Down Payment:
How Did You Hear About Us?
I have read and fully understand the Privacy Disclaimer below.

Colonial Heights Auto Center, Inc. Privacy Notice

WHAT DOES COLONIAL HEIGHTS AUTO CENTER, INC. DO WITH YOUR PERSONAL INFORMATION?
Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do.

The types of personal information we collect and share depend on the product or service you have with us. This information can include:

  • Social Security number, Income
  • Payment History
  • Credit History and Credit Scores
  • Credit Card or Other Debt, and Employment History.

  • If you are a new customer, we can begin sharing your information 30 days from the date we sent/presented this notice. When you are no longer our customer, we continue to share your information as described in this notice.

    However you can contact us at any time to limit our sharing.

    All financial companies need to share customers' personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Colonial Heights Auto Center, Inc. chooses to share; and whether you can limit this sharing.

    For our everyday business purposes -
    such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus-
    Yes we share this information; No You cannot limit this sharing.
    For our marketing purposes -
    to offer our products and services to you- We don't share

    For Joint marketing with other financial companies -
    We don't share

    For our affiliates' everyday business purposes -
    information about your transactions and experiences - We don't share

    For our affiliates' everyday business purposes -
    information about your creditworthiness- We don't share

    For our affiliates to market to you-
    We don't share

    For nonaffiliates to market to you-
    We don't share

    Who is providing this notice? Colonial Heights Auto Center, Inc.

    How does Colonial Heights Auto Center, Inc. protect my personal information?
    To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings.

    How does Colonial Heights Auto Center, Inc. collect my personal information?
    We collect your personal information, for example, when you
  • give us your income information or provide employment information
  • give us your employment history or apply for financing
  • apply for a lease


  • Why can't I limit all sharing?
    Federal law gives you the right to limit only
  • sharing for affiliates' everyday business purposes information about your creditworthiness
  • affiliates from using your information to market to you
  • sharing for nonaffiliates to market to you

  • State laws and individual companies may give you additional rights to limit sharing.

    Affiliates
    Companies related by common ownership or control. They can be financial and nonfinancial companies.
  • Colonial Heights Auto Center, Inc. does not share with our affiliates


  • Nonaffiliates
    Companies not related by common ownership or control. They can be financial and nonfinancial companies.
  • Nonaffiliates we share with can include financial companies, warranty companies
  • Colonial Heights Auto Center, Inc. does not share with nonaffiliates so they can market to you


  • Joint marketing
    A formal agreement between nonaffiliated financial companies that together market financial products or services to you.
  • Colonial Heights Auto Center, Inc. doesn't jointly market.
  • Site designed and maintained by JTZ Enterprise