Pier 1 Auto Sales

Skip Repetitive Navigational Links

Online Finance Application

 Customer Information  Employment Information
E-Mail Address:
First Name:
Last Name:
Middle Initial:
Street:
Apartment:
City:
State, Zip Code:
Home Phone:
Cell Phone:
Social Security #:
Driver's License #:
Date of Birth:
Place of Employment:
Occupation:
Street:
Suite / Apartment:
City:
State, Zip Code:
Business Phone:
Length of Employment:
Net Salary:
Other Income:
Other Income Source:
Gross Monthly Salary:
Housing Information
Landlord / Mortgage Holder:
Contact Phone:
Rent / Mortgage Monthly Amount:
Time at Current Residence:

Previous Residence
if less than two years at current residence
Previous Landlord Name:
Previous Landlord Phone:
Street:
Apartment:
City:
State, Zip Code:

 Banking Information  Current Loan Information
Name of Bank:
Account Types:
Name of Bank:
Account Types:
Lender:
Monthly Payment:
Balance:
Length of Loan:

Vehicle of Interest
Make:
Model:
Amount of Cash Down:
Important Privacy Information

Introduction
As a valued customer, we want to ensure your private information is kept privateand only shared with those companies who are authorized either by yourself or asallowed or required by law. This document explains our privacy policy, givesyou reasons why we ask for the type of information we do, and if we do reserve aright to share information with non-affiliated third parties, lets you "opt-out"of our reservation to do so. Please take a moment to read this entire policy.
Collection of Information
The purchase of a motor vehicle requires considerable accumulation of nonpublicpersonal information. For example, if we sell or lease you a vehicle - extendingyou credit at your request - we will receive information from you in order todetermine your creditworthiness. We may also obtain information from acredit-reporting agency. We may also obtain information from third parties suchas employers, references and insurance companies.
Some of the information we obtain from you may be required by state of federalagencies, such as the Department of Motor Vehicles or the Internal Revenue Service.This information may be required even if you were to pay cash for your vehicle.Examples would be a driver's license or social security number.
Protecting Your Information
We safeguard nonpublic personal information according to established industrystandards and procedures. We maintain physical and electronic safeguards thatcomply with state and federal law. We restrict access to nonpublic personalinformation about you to those employees and outside contractors who need to knowthe information to provide product or service to you. We prohibit our employeesand agents from giving information about you to anyone in a manner that would violateany applicable law or our privacy policy.
Information Sharing
Unless we have indicated our desire to share your nonpublic personal informationwith non-affiliated third parties (by checking the box in the section below), weshare information:
A) As permitted by federal or state law.
B) For purposes of processing a sale or lease transaction as your request orauthorize, such as submitting information to third party financial institutionsthat may be requested to take an assignment of the contract or verifying insurancecoverage information.
C) When using outside service providers to help us provide you with products andservices. Before providing information to our service providers we enter intocontractual agreements prohibiting them from disclosing or using the informationother than for the purpose it was disclosed.
D) With "Affiliated" companies. Companies that are affiliated with us include anycompany that controls us, any company we control, or any company under commoncontrol with us.

I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me.
Submit through non-secure email or
download from one of the links below
print and fax to xxx-xxx-xxxx
or bring it in to the dealership
Word Version
PDF Version



© 2008 Pier 1 Auto Sales