Financial Privacy Disclaimer

Cox Chevrolet Financial Privacy Disclaimer
In connection with your transaction, we may obtain information about you as described in this notice, which we handle as stated in this notice.

1.  We collect nonpublic personal information about you from the following sources:

• Information that we receive from you on applications or other forms
• Information about your transaction with us, our affiliates or others; and
• Information we receive from 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 not make such disclosures about you as a consumer, customer, or former customer.

3.  We may also disclose nonpublic personal information about you as a consumer, customer or former customer, to nonaffiliated 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.

Loan Information * Applicant Type: Individual Joint * Amount Required: * Loan Term: Choose A Term 12 Months 24 Months 36 Months 48 Months 60 Months 72 Months 84 Months 96 Months 108 Months 120 Months 132 Months 144 Months 180 Months 240 Months * Down Payment: * Trade-In: Yes No Employment Information * Employer: * Occupation: * Monthly Income: * Time On Job: Years 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years Months 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months * Business Phone: * Address: * City: * State: Select One AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA ME MD MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY * Zip: Other Income Source: Monthly Income: Contact Information * First Name: * Last Name: * Email: Home Phone: * Day Phone: Fax: Cell Phone: * Preferred Contact: Email Home phone Day phone Cell phone Fax * Address: * City: * State: Select One AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA ME MD MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY * ZIP Code: Applicant Information   Format: xxx-xx-xxxx   Format: MM/DD/YYYY * Soc. Sec. No.: * Date of Birth: * Residence Type: Own Rent * Monthly Payment: * Years At Residence: Years 0 Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years Months 0 Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months Additional Information Message Text: Vehicle of Interest * Interested In: Choose Vehicle Type Year: Select a Year Make: Select a Make Model: Select a Model * 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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