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Email
info@hdautos.net
Call
718- HDAUTOS (718-432-8867)
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Applicant Information
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Applicant Information
APPLICANT - PERSONAL INFORMATION (PRINCIPAL DRIVER OF VEHICLE)
Name (First / Last)
*
First
Last
Address
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Own or Rent?
*
Own
Rent
Living With Relatives
How Long?
*
Monthly Mortgage Payment
*
Monthly Rent Payment
*
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
SS# / TAX ID
*
Phone Number
*
Email Address
*
Applicant Employment Information
Employer Name
*
Employer Phone Number
*
Employer Address
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Position
*
How Long?
*
Annual Income
*
Upload Pictures of Documents
Drivers License. Registration, Insurance Card
Drop files here or
Privacy Policy
NOTICE: HD Autos 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. IN CONNECTION WITH YOUR TRANSACTION By clicking "SUBMIT", you submit and certify that all of the statements in this application are true and made for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward your application to lenders, financial institutions, or other third parties in order to process your application. We the Auto Dealer, may obtain information about you as described in this notice, which we handle as stated in our website privacy policy notice. If we are required to provide you our official company privacy policy, it will be given to you in person, by mail or if you consent to receive it electronically, by e-mail. This does not apply to information obtained in a non-financial transaction. All applicants must satisfy all lender criteria in order to obtain credit. Not all applicants, including pre-approved applicants, will qualify for a loan.By completing and submitting your request, you consent to having all legally required disclosures, notices, privacy policies and information ("Disclosures") provided or made available to you in electronic form and to doing business with us electronically.We collect nonpublic 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 a consumer reporting agency. We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others. 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.
CUSTOMER ACKNOWLEDGMENT
*
I acknowledge that I received a copy of this notice and agree to the terms and conditions set forth on the date indicated below.
Digital Signature (type name)
*
Date
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