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CREDIT APPLICATION

Welcome to the credit application of Smithfield Family Automotive. We offer Bank Financing.

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
Rent or Mortgage Monthly Payment:
How Long Here?
How Long at Prior Residence?


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

Smithfield Family Automotive Privacy Notice
WHAT DOES SMITHFIELD FAMILY AUTOMOTIVE 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
  • Credit Card or Other Debt, and Employment History.
When you are no longer our customer, we continue to share your information as described in this notice.

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 Smithfield Family Automotive 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? Smithfield Family Automotive

How does Smithfield Family Automotive 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 Smithfield Family Automotive 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.
  • Smithfield Family Automotive 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
  • Smithfield Family Automotive 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.
  • Smithfield Family Automotive doesn't jointly market

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