Online Credit Application

Privacy Notice to our Customers

In connection with your transaction, this dealership may obtain information about you as described in this notice, which we handle as stated in this notice.

  1. 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.

  1. We may disclose all 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.
  2. 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.
  3. We restrict access to non-public 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 non-public personal information.

 

 

 

 

WARNING: Falsification of your identification is fraud and will be prosecuted to the fullest extent of the law.

I understand this application is subject to final credit approval at the dealership.

By submitting this completed form, I acknowledge that I have read and understand the disclosures.

 

Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Vehicle Information

Year: Miles:
Make: VIN:
Model:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Additional Information

Message Text:
* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Albrecht-Hamlin Chevrolet serving Wood River and Godfrey | Homepage
Albrecht-Hamlin Chevrolet
1401 Vaughn Road
TOLL FREE 800-895-4788
Wood River, IL 62095
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Main: (618) 216-5051
Email: Contact Us
Fax: (618) 259-6889