FINANCING – A & C Auto | Kansas City Used Cars & Parts For Sale

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STEP ONE - Personal Info

* First Name

FIRST NAME REQUIRED

Middle Initial

* Last Name

LAST NAME REQUIRED

* Phone Number

PHONE REQUIRED

* Email Address

EMAIL REQUIRED

Social Security Number

SSN REQUIRED

( We secure and protect your confidential information )

Apt/Suite

APT/SUITE REQUIRED

Street Number

STREET NUM REQUIRED

Street Name

STREET NAME REQUIRED

Street Type

STREET TYPE REQUIRED

PO Box

PO BOX REQUIRED

Rural Route

RURAL ROUTE REQUIRED

City

CITY REQUIRED

State

STATE REQUIRED

Zip

ZIP REQUIRED

Birth Date (Month-Date-Year)

- -

DAY REQUIRED

MONTH REQUIRED

YEAR REQUIRED

STEP TWO - Employment Info

Employer Name

EMPLOYER REQUIRED

Position

POSITION REQUIRED

Years/Month at Company

YEARS REQUIRED

` MONTHS REQUIRED

Employer Phone Number

PHONE REQUIRED

Gross Monthly Income

INCOME REQUIRED

Other Income

OTHER INCOME REQUIRED

PREVIOUS EMPLOYMENT

Employer Name

EMPLOYER REQUIRED

Position

POSITION REQUIRED

Years/Month at Company

MONTHS REQUIRED

YEARS REQUIRED

Employer Phone Number

PHONE REQUIRED

Gross Monthly Income

INCOME REQUIRED

Other Income

OTHER INCOME REQUIRED

STEP THREE - Living Situation

Years/Month at Current Address

YEARS REQUIRED

MONTHS REQUIRED

Do you Own or Rent ?

REQUIRED

Rent Amount/Mortgage Payment $

REQUIRED

Best Contact Place And Time

REQUIRED

Comments

PREVIOUS ADDRESS

Apt/Suite

APT/SUITE REQUIRED

Street Number

STREET NUM REQUIRED

App Street Name

STREET NAME REQUIRED

Street Type

STREET TYPE REQUIRED

PO Box

PO BOX REQUIRED

Rural Route

RURAL ROUTE REQUIRED

City

CITY REQUIRED

State

STATE REQUIRED

Zip

ZIP REQUIRED

Do you have a Co-Signer

Co-Signer

STEP FOUR - Co-Applicant Information (Optional)

First Name

FIRST NAME REQUIRED

Middle Initial

Last Name

LAST NAME REQUIRED

Home Phone Number

PHONE REQUIRED

Email Address

EMAIL REQUIRED

Social Security Number

SSN REQUIRED

( We secure and protect your confidential information )

Apt/Suite

APT/SUITE REQUIRED

Street Number

STREET NUM REQUIRED

Street Name

STREET NAME REQUIRED

Street Type

STREET TYPE REQUIRED

PO Box

PO BOX REQUIRED

Rural Route

RURAL ROUTE REQUIRED

City

CITY REQUIRED

State

STATE REQUIRED

Zip

ZIP REQUIRED

Birth Date (Month-Date-Year)

- -

DAY REQUIRED

MONTH REQUIRED

YEAR REQUIRED

STEP FIVE - Co-Applicant Employment Info

Employer Name

EMPLOYER REQUIRED

Position

POSITION REQUIRED

Years/Month at Company

YEARS REQUIRED

MONTHS REQUIRED

Employer Phone Number

PHONE REQUIRED

Gross Monthly Income

INCOME REQUIRED

Other Income

OTHER INCOME REQUIRED

Co-Applicant Previous Employment

Employer Name

EMPLOYER REQUIRED

Position

POSITION REQUIRED

Years/Month at Company

MONTHS REQUIRED

YEARS REQUIRED

Employer Phone Number

PHONE REQUIRED

Gross Monthly Income

INCOME REQUIRED

Other Income

OTHER INCOME REQUIRED

STEP SIX - Co-Applicant Living Situation

Years/Month at Current Address

YEARS REQUIRED

MONTHS REQUIRED

Do you Own or Rent ?

REQUIRED

Rent Amount/Mortgage Payment $

REQUIRED

Best Contact Place And Time

REQUIRED

Previous Co-Applicant Address

Apt/Suite

APT/SUITE REQUIRED

Street Number

STREET NUM REQUIRED

Street Name

STREET NAME REQUIRED

Street Type

STREET TYPE REQUIRED

PO Box

PO BOX REQUIRED

Rural Route

RURAL ROUTE REQUIRED

City

CITY REQUIRED

State

STATE REQUIRED

Zip

ZIP REQUIRED

*TERMS AND DISCLOSURE 
	
	The following terms of agreement apply to all of our online applications;
	
	we, us, our and ours as used below refer to the dealer and to the Financial 
	
	Institutions selected to receive your application.
	
	You authorize the dealer, as part of the credit underwriting process, to submit this 
	
	application and any other application submitted in connection with the proposed transaction
	
	to the Financial Institutions disclosed to you by the dealer, for review. In addition, in 
	
	accordance with the Fair Credit Reporting Act, you authorize that such Financial Institutions 
	
	may submit your applications for review to other Financial Institutions that may want to 
	
	purchase your contract.
	
	
	You agree that we and any Financial Institutions to which your application is submitted may 
	
	obtain a consumer credit report periodically from one or more consumer reporting agencies 
	
	(credit bureaus) in connection with the proposed transaction and any update, renewal, 
	
	refinancing, modification or extension of that transaction.
	
	You agree that we may verify your employment, pay, assets and debts, and that anyone 
	
	receiving a copy of this is authorized to provide us with such information.
	
	You further authorize us to gather whatever credit and employment history we consider
	
	necessary and appropriate in reviewing this application and any other applications 
	
	submitted in connection with the proposed transaction.
	
	We may keep this application and any other application submitted to us, and information 
	
	about you whether or not the application is approved. You certify that the information on 
	
	this application and in any other application submitted to us, is true and complete. You 
	
	understand that false statements may subject you to criminal penalties.
	
	FEDERAL NOTICES
	
	IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
	
	To help the government fight the funding of terrorism and money laundering activities, 
	
	Federal law requires all financial institutions to obtain, verify, and record information that 
	
	identifies each person who opens an account. What this means for you: When you open an 
	
	account, we will ask for your name,address, date of birth, and other information that will  
	
	allow us to identify you. We may also ask to see your driver's license or other identifying 
	
	documents.
	
	STATE NOTICES
	
	Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or  
	
	Wisconsin Residents: If you, the applicant, are married and live in a community property 
	
	state, you should also provide the personal credit information on your spouse in the 
	
	co-applicant section. Your spouse is not required to be a co-applicant for the credit 
	
	requested unless he/she wishes to be a co-applicant.
	
	California Residents: An applicant, if married, may apply for a separate account.
	
	Ohio Residents: Ohio laws against discrimination require that all creditors make credit 
	
	equally available to all creditworthy customers and that credit reporting agencies maintain  
	
	separate credit histories on each individual upon request. The Ohio Civil Rights  
	
	Commission administers compliance with this law.
	
	New Hampshire Residents:If this is an application for balloon financing, you are entitled to 
	
	receive, upon request, a written estimate of the monthly payment amount that would be  
	
	required to refinance the balloon payment at the time such payment is due based on the
	
	creditor's current refinancing programs.
	
	New Hampshire Residents: In connection with your application for credit, we may request a 
	
	consumer report that contains information on your credit worthiness, credit standing,  
	
	personal characteristics and general reputation. If we grant you credit, we or our  
	
	servicer may order additional consumer reports in connection with any update, renewal  
	
	or extension of the credit. If you ask us, we will tell you whether we obtained a consumer  
	
	report and if we did, we will tell you the name and address of the consumer reporting 
	
	agency that gave us the report.
	
	Vermont Residents: By clicking on Submit, you authorize us and our employees or agents  
	
	to obtain and verify information about you (including one or more credit reports, information 
	
	about your employment and banking and credit relationships) that we may deem necessary  
	
	or appropriate in reviewing your application. If your application is approved and credit is 
	
	extended, you also authorize us, and our employees and agents, to obtain additional credit 
	
	reports and other information about you in connection with reviewing the account,  
	
	increasing the available credit on the account (if applicable), taking collection on  
	
	the account, or for any other legitimate purpose.
	
	Married Wisconsin Residents: Wisconsin law provides that no provision of any marital  
	
	property agreement, or unilateral statement, or court order applied to marital property  
	
	will adversely affect a creditor's interests unless, prior to the time that the credit 
	
	is granted, the creditor is furnished with a copy of the agreement, statement or decree,
	
	or has actual  knowledge of the adverse provision. If you are making this application  
	
	individually, and not jointly with your spouse, the full name and current address of 
	
	your spouse must be properly disclosed in the co-applicant section of this application.

Purchase Information

What Vehicle are you Interested In Purchasing?
I know the stock#
Stock #
I would like to search for it
Description (enter year, make or model)
I haven't made up my mind.

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