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STANDARD CREDIT APPLICATION
(*)
Required fields
Gracias por completar nuestro formulario. Muy pronto serás contactado(a) por uno de nuestros asesores para validar tu información.
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APPLICANT INFORMATION
*Last Name
Requerido
*First Name
Requerido
Middle Initial
Requerido
*Social Security Number
Requerido
*Birth Date
Requerido
*Address
Requerido
Apto.
Requerido
*City
Requerido
State
Requerido
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*ZIP
Requerido
*Phone
Requerido
*Residential Status
Requerido
Homeowner
Rent
Family
Other
*Time at Address (Yrs.)
Reqierido
Time at Address
Mos.
*Rent/Mtg. Pmt
Requerido
*E-mail Address
Time at Previous Address (Yrs.)
Time at Previous Address (Mos.)
Previous Full Address (If less than 2 Years)
Previous Apt.
Previous City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*Employers Name
*Employment Type
Employed
Unemployed
Self-employed
Military
Retired
Other
*Work Phone
*Supervisor Name
*Salary
*Salary Type
Weekly
Bi-weekly
Monthly
Annualy
*Occupation
*Length of Employment (Yrs.)
Length of Employment (Mos.)
Other Incomes (monthly)
Source of other Income
BUSINESS CREDIT INFORMATION
Business Name
Tax ID
Annual Sales
Date Established
Years in Business
Años en le negocio
Occupation
Terms, Conditions, and Disclosure
By clicking “SUBMIT”, you submit and certify that all of the statements in this application are true and made for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward your application to lenders, financial institutions, or other third parties in order to process your application. We the Auto Dealer, may obtain information about you as described in this notice, which we handle as stated in our website privacy policy notice. If we are required to provide you our official company privacy policy, it will be given to you in person, by mail or if you consent to receive it electronically, by e-mail. This does not apply to information obtained in a non-financial transaction. All applicants must satisfy all lender criteria in order to obtain credit. Not all applicants, including pre-approved applicants, will qualify for a loan.By completing and submitting your request, you consent to having all legally required disclosures, notices, privacy policies and information (“Disclosures”) provided or made available to you in electronic form and to doing business with us electronically.We collect nonpublic personal information about you from the following sources: information we receive from you on applications or other forms in connection with a financial transaction, Information about your transactions with us, our affiliates, or others, and information we receive from a consumer reporting agency. We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others. We restrict access to nonpublic 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 nonpublic personal information.
Allyanz is a Marketing Consulting Advisor Company who provides Consulting and Advisor Service for lease and/or purchase of any kind of vehicles to Individuals or Corporations (Clients), always trying to find the best financial deal for each one of its clients. By Signing this form, The Client Agrees that Allyanz it is not responsible for the decision made by The Client. Allyanz is limited to advise and show all the open options for the type, model, brand, and year including color of the vehicle of their needs). I/we agrees to pay the amount of $249.99 for restocking fee in case of refusing the vehicle that I/we agrees to buy. After delivery of your vehicle by Allyanz or any other authorized party to me/us, the purchase is definitive and irrevocable, any guarantees and satisfaction for purchased vehicle must be furnished by Selling Dealer. I/we understand this provision and agrees with it. I/we waives any responsibility or liability against Allyanz.
Consent to Terms & Privacy Policy
Our company takes your privacy seriously and is committed to safeguarding your privacy online. By clicking “SUBMIT”, you accept the Terms, Conditions and Disclosures above and have read and accept the terms of the Privacy Policy.
*Application Date
Before accepting the terms and conditions, please enter the current date of your application.
*Write your signature
Procced with application
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