Linnehans Right Way Auto Secure Credit Application

Vehicle Interested In

Cash Down

Trade In?

YesNo

If trading a vehicle, brief description of trade-in, including any amount owed on it.

Do You Have a Co-Buyer?

YesNo

Primary Buyer

First NameMiddle InitialLast NameSuffix

Birth Date

MonthDayYear

Social Security Number

E-mail

Home Phone

Area CodePhone Number

Mobile Phone

Area CodePhone Number

Physical Address

Street Address

Street Address Line 2

CityState

Zip Code

Mailing Address Different than Physical?

YesNo

Mailing Address

PO Box

Street Address Line 2

CityState

Zip Code

Housing Status

Rent / Mortgage Monthly Amount

Time At Address:

Years

Months

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Time At Prev. Address:

Years

Months

Employer Name

Employer Phone Number

Area CodePhone Number

Occupation

Type Of Pay

HourlySalary

Hourly Wage

Avg. Weekly Hours

Weekly Salary

Time On Job:

Years

Months

Previous Employer

Time On Prev. Job:

Years

Months

Prev. Occupation

Prev. Employer Phone Number

Area CodePhone Number

Any Other Income? **

YesNo

Other Income Source

Other Income Monthly Amount

Co-Buyer

First NameMiddle InitialLast NameSuffix

Birth Date

MonthDayYear

Social Security Number

E-mail

Home Phone

Area CodePhone Number

Mobile Phone

Area CodePhone Number

Address Same as Primary Buyer?

YesNo

Co-Buyer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Housing Status

Rent / Mortgage Monthly Amount

Co-Buyer Time

At Address:

Years

Months

Co-Buyer Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Co-Buyer Time

At Prev. Address:

Years

Months

Co-Buyer Employer Name

Employer Phone Number

Area CodePhone Number

Occupation

Co-Buyer Type Of Pay

HourlySalary

Co-Buyer Hourly Wage

Co-Buyer Avg. Hours

Co-Buyer Weekly Salary

Co-Buyer Time

On Job:

Years

Months

Previous Employer

Co-Buyer Time

On Prev. Job:

Years

Months

Prev. Employer Phone Number

Area CodePhone Number

Prev. Occupation

Any Other Income? **

YesNo

Other Income Source

Other Income Monthly Amount

Optional: Upload Paystub

Upload a File

Additional Comments

Acknowledgement*

I understand my rights and responsibilities under the FDIC law, Privacy Policies, and the Consent for Electronic Documentation. I submit this statement to obtain credit and certify that all information herein is true and complete. I authorize you or any credit bureau or other investigative agency that you select to investigate any references herein listed or statements or other data given by me or by any other person, pertaining to my credit and financial responsibility. I understand that consumer reports (credit reports, credit bureau) may be obtained in connection with this application.

**Alimony, Child Support, or Seperate Maintenance need not be revealed if you do not wish to have it considered as basis for repaying the obligation.

***Privacy Policy

We restrict access to 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 to protect this information. We will not disclose information about you to anyone except as permitted by law.

Notice of Your Financial Privacy Rights

When we use the words "you" and "your" we mean the following types of customers:

All persons (individuals) who do not have a continuing relationship with us but who may use a financial product or service we provide in isolated transactions. This includes, for example, someone who:

Applies for a loan through us.

We will tell you the sources of the information we collect about you. We will tell you what measures we take to secure that information.

Definition of Terms

Nonpublic personal information

Information about you that we collect in connection with providing a financial product or service to you.
Nonpublic personal information does not include information that is available form public sources, such as telephone directories or government records. Hereafter, we will use the term "information" to mean nonpublic personal information as defined in this section.

An affiliate

A company we own or control, a company that owns or controls us, or a company that is owned or controlled by the same company that owns or controls us. Ownership does not mean complete ownership, but means owning enough to have control.

A nonaffiliated third party

A person we do not employ or a company that is not an affiliate of ours. This is also known as nonaffiliated third party, or simply, an "other party".

The Information We Collect

We collect information about you from the following sources:

Information we receive from you on your applications or other forms, such as your name, address, telephone numbers, e-mail addresses, birth date, social security number, income, and employment history.

Information about your transactions with us or others, such as account balances and payment histories.

Information we receive from your customer credit reports or a customer reporting agency, such as your credit worthiness, credit score or credit history.

Representations made by you to us, such as your employment history, account balances, payment histories, and your relationships with other persons or entities that you have listed as references.
Information We Disclose About You

We do NOT disclose any information about you to anyone, except as permitted by law. This might include disclosures necessary to service your account, perform joint marketing or prevent unauthorized transactions.

The Confidentiality, Security, and Integrity of Your Information

We restrict access to 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 to protect this information.

Information About Former Customers

We do not disclose information about former customers, except as permitted by law.

Additional FDIC Laws

Consent for Electronic Documents