Olathe Ford RV Credit Application


 LAST NAME    FIRST NAME    MIDDLE NAME   
 DATE OF BIRTH    SOCIAL SECURITY NUMBER    
 NUMBER, STREET, APT    CITY    STATE    ZIP CODE 
 PHONE NUMBER     LIVED_THERE_HOW_LONG 
.  LANDLORD OR MORTGAGE COMPANY NAME & ADDRESS 
 LANDLORD OR MORTGAGE COMPANY PHONE NUMBER    MONTHLY PAYMENT AMOUNT 
 CURRENT EMPLOYER NAME    APPLICANT'S OCCUPATION OR MILITARY RANK 
 WORK PHONE NUMBER    GROSS MONTHLY SALARY    TIME ON JOB 
 PREVIOUS EMPLOYER'S NAME and ADDRESS (IF LESS THAN 5 YEARS AT CURRENT 
 NAME OF BANK    
 HAVE YOU EVERY FILED BANKRUPTCY?    IF YES, WHAT MONTH & YEAR 
 HAVE YOU EVERY HAD A CAR OR OTHER MERCHANDISE REPOSSESSED?    IF YES, WHAT MONTH & YEAR 
 (1) CURRENT/PREVIOUS CARS FINANCED BY OR LEASED THROUGH 
             DATE OPENED    MONTHLY PMT AMOUNT    UNPAID BALANCE 
 (2) CURRENT/PREVIOUS CARS FINANCED BY OR LEASED THROUGH 
             DATE OPENED    MONTHLY PMT AMOUNT    UNPAID BALANCE 

 (1) NAME AND ADDRESS OF APPLICANT'S NEAREST RELATIVES/FRIENDS NOT IN HOUSEHOLD 
             PHONE NUMBER    RELATIONSHIP   (2) NAME AND ADDRESS OF APPLICANT'S NEAREST RELATIVES/FRIENDS NOT IN HOUSEHOLD 
             PHONE NUMBER    RELATIONSHIP 

IF YOU HAVE BEEN WORKING WITH SOMEONE AT OLATHE FORD, WHAT IS THEIR NAME? 
For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge.
I further certify that I have attained the age of majority. I authorize you to check my credit and employment history and
to provide and/or obtain information about credit experience with me

Privacy Notice to Our Customers

1. We collect nonpublic personal information about you from the following sources:
   Information we receive from you on applications or other forms;
   Information about your transaction with us, our affiliated or others; and,
   Information we receive from a consumer reporting agency.

2. We may disclose all of 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 joint marketing agreements. We may make such disclosures about
you as a consumer, customer, or former customer.

3. We may also disclose nonpublic information about you as a consumer, customer, ot former customer, to non-affiliated third parties as permitted by law.

4. 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.

 PROCESS APPLICATION    Your email address   Required

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