Credit Application
Name and Address Information
Car(s) Desired -Stock #
 E-mail Address
Maiden Name
First Name
Last Name
 MI
Address
Apt.
Rent/Own?
Mnthly Pymt
 Social Security Number
-
 -
City
State
 Zip
 Years/months at Address
DOB
Alternate/Relative Phone
Cell Phone
Home Phone
Landlord Phone
Landlord Name and Address
City, State, Zip
Mailing Address  (if different from above)
Apt.
Employment
Employer Phone
Employer Name
Occupation
Emp Address
 Pymt Frequency
 Mnthly Income
*
Emp City
Length of Employment
Emp State
 Emp Zip
 Hire Date
Secondary Employment
Employer Name
 Employer Phone
 Occupation
Monthly Income
Hire Date
Emp Address
Length of Employment (Yrs/Mths)
Emp State
 Emp Zip
Emp City
Other Income
Amount
 How Often?
Other Income Source
$
Banking Information
Checkings?
 No
Yes
Saving?
 No
Yes
Bank Name
Please read and acknowledge the following before proceeding to submit  your Credit Application

In connection with your transaction, Oakland Motors may obtain information about you as described in this notice, which
we handle as stated in this notice. This does not apply to information obtained in a non-financial transaction.

    1.  We collect non-public personal information about you from the following sources:
                 Information we receive from you on applications or other forms in connection with a financial transaction;
Information about your transactions with us, our affiliates or others; and,
Information we receive from consumer reporting agencies.

    2.  Our policy is only to disclose your personal non-public information to only those companies that perform
         marketing services on our behalf or to other financial institutions with which we have joint marketing
         agreements.

    3.  We do not disclose any non-public personal information about you to any one, except as permitted by law.

    4.  Further, we restrict access to your non-public personal information to only those employees who need to know
         that information to provide products or services to you. Employees cannot use your information for any other
         purpose. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to
         guard your non-public personal information.

NOTE: Price(s) include(s) all costs to be paid by a consumer, except for licensing costs, registration fees and taxes.

Customer Acknowledgment: I (we)acknowledge that I (we) received a copy of this notice.
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Application