Monday, September 08, 2008
Finance Application
First Name:
Last Name:
Address:
City:
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Zip:
Home Phone:
Work Phone:
Email:
Social Security #:
Date of Birth:
Years at Residence:
I:
rent
own
lease
Trade or Occupation:
Salary or Wages:
Privacy Notice:
In connection with your transaction, HPR Automotive Superstore - Sullivan, may obtain information about you as described in this notice, which we handle as stated in this notice. We collect non-public personal information about you from the following sources: Information we receive from you on applications or other forms; Information about your transactions with us, our affiliates or others; and, Information we receive from a consumer reporting agency. 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. We may also disclose non-public personal information about you as a consumer, customer, or former customer, to non-affiliated third parties as permitted by law. We restrict access to non-public personal information about you to our Finance, Sales and/or General Manager. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public personal information.
I agree with the Privacy Notice:
