DATE OF BIRTH:*
SOCIAL SECURITY NUMBER #:*
STATE:* Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
HOW LONG? YRS* Years01234567891011+
STATE: Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Own or Rent?* OWN/BUYING RENT/LEASE LIVE WITH RELATIVES OTHER
MONTHLY PMT: $*
MORTGAGE CO OR LANDLORD:
MORT. AMT $:
HOW LONG? YRS:*Years01234567891011+
GROSS INCOME $:*
OTHER INCOME SOURCE:
ANNUAL AMT: $
PREVIOUS EMPLOYER OR SCHOOL:
AUTO CREDIT REFERENCES:
OTHER CREDIT REFERENCES:
NEAREST RELATIVE (NOT LIVING WITH YOU):
FRIEND OR RELATIVE:
LeaseRite takes your privacy seriously and is committed to safeguarding your privacy online. This statement discloses the types of information we gather and how it is used. Our dealership respects the privacy of individuals who visit our Web sites, send us e-mail, or participate in features/services we offer online.
Subscribers to our e-mail services (or any other feature/service found on our Web site) will not receive unsolicited e-mail messages from us. Our dealership collects information online primarily to provide our visitors with a more relevant experience on our sites. Our dealership will take reasonable physical, electronic and managerial measures to safeguard and secure any information you provide to us. Our dealership will not share any information you’ve provided to us with anyone without your consent other than to provide the service you’ve requested.
Any information you provide to us (i.e. name, e-mail address, etc.) when you enroll in one of our E-Mail Reminder Services, request information, or use any of the other interactive portions of our Web sites, is securely maintained on our Web server and internal systems. This information may be used to provide you with information you’ve requested about our company, our products and our services, or to provide you with special notices. You may opt out of receiving future communications at any time. This data may also be used to tailor your experience on our sites by providing content that is relevant to your interests and geographic region.
Our dealership understands the importance of your privacy. We collect and maintain the personal information of our consumers for our use and our subsidiaries. We do not sell, rent, or trade consumer information to third parties, other than as described below, and never without your consent.
Our dealership may use other companies and individuals to perform certain functions on our behalf. Such parties only have access to the personal information needed to perform these functions and may not use or store the information for any other purpose. Subscribers or site visitors will never receive unsolicited e-mail messages from agents working on our behalf.
Our dealership may disclose specific personal information based on a good faith belief that such disclosure is necessary to comply with or conform to the law or that such disclosure is necessary to protect the users of our Web sites, the sites themselves, or the public.
If you are visiting our Web site from a location outside of the U.S., your connection will be through and to servers located in the U.S. Any information you provide during your visit will be processed and maintained on our Web server and other internal systems located within the U.S.
Our Web sites may make chat rooms, forums, message boards, and/or news groups available to its users at various times. Please remember that, unless otherwise stated, any information that is disclosed in these areas becomes public information and you should exercise caution when deciding to disclose your personal information in these areas.
You may always opt-out of receiving future communications from our dealership. Our sites allow users to opt-out of receiving such communications at the point where personal information is requested, or through other means as identified.
SIGNATURE OF APPLICANT:*