CREDIT APPLICATION

Please read our privacy policy below, fill out the form in its entirety and click Submit. We will get back to you as soon as possible.



CREDIT APPLICATION
FIRST NAME
MIDDLE INITIAL
LAST NAME
BIRTHDATE
SS#
EMAIL
PHONE Format: XXX-XXX-XXXX
COMMENTS
RESIDENCE TYPE
HOME ADDRESS
LINE 2 (OPTIONAL)
CITY
 
STATE
ZIP

AT RESIDENCE SINCE
PAYMENT
PREVIOUS RESIDENCE
If you have been at your current residence for less than 2 years. Please enter your previous address below:
HOME ADDRESS
LINE 2 (OPTIONAL)
CITY
STATE
ZIP
MOVE-IN DATE
 
BANKRUPTCY? Have you filed bankruptcy in the last two years?
NEGATIVE CREDIT? Have you had any known negative blemishes on your credit in the past 6 months?
 
SIMILAR VEHICLE? Pre-Qualify for a loan on a similar car if this vehicle is not available?
TYPE OF FINANCING
LOAN TERM MONTHS
LOAN AMOUNT $
DOWN PAYMENT $ (NOT including optional trade-in)
TRADE-IN
DO YOU HAVE A TRADE-IN?
 
TRADE-IN VEHICLE





 
ESTIMATED PAY-OFF $
VEHICLE CONDITION
DESCRIPTION
OCCUPATION
OCCUPATION
EMPLOYER NAME
EMPLOYER ADDRESS
CITY
STATE
ZIP
EMPLOYER PHONE
DATE STARTED
MONTHLY INCOME $ PER MONTH FROM EMPLOYER (GROSS)
OTHER INCOME
TOTAL INCOME
If you have been with your current employer for less than 2 years. Please enter your previous employer information below:
EMPLOYER NAME
EMPLOYER ADDRESS
CITY
STATE
ZIP
EMPLOYER PHONE
DATE STARTED
AGREEMENT
We at Herb Connolly want to thank you for your financing request. Our goal is to offer you, our future customer with the best financing available. You look forward to earning your business. Feel free to Contact our Financing Manager anytime at:

ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

If you're a resident of California, Maine, Massachusetts, New York, Ohio, Rhode Island, Vermont, Washington, or Wisconsin, please scroll down to read the notice called for under the law of your state. By submitting this application, you represent that you've read the notice required under the law of your state.

CALIFORNIA RESIDENTS: A married applicant may apply for an individual account.

MAINE RESIDENTS: Consumer reports (credit reports) may be obtained in connection with this application.

If you request, the creditor will inform you: (1) whether or not consumer reports were obtained, and (2) if reports were obtained, the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports. You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer must be approved by the creditor.

MASSACHUSETTS RESIDENTS: Massachusetts law prohibits discrimination on the basis of marital status or sexual orientation.

NEW YORK RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals, extensions or enforcement of any credit granted as a result of this application. Upon your request, the creditor will inform you whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report.

OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy 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.

RHODE ISLAND RESIDENTS: A consumer credit report may be requested in connection with this application.

VERMONT RESIDENTS: I authorize the creditor to obtain credit reports on an ongoing basis about me from credit reporting agencies in connection with this extension of credit transaction. The creditor may obtain credit reports about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: (1) reviewing the account; (2) increasing the credit line on the account; (3) taking collection action on the account; or, (4) any other legitimate purposes associated with the account.

WASHINGTON RESIDENTS: Please advise us if the creditor should investigate your credit references and/or credit history under another name.

MARRIED WISCONSIN RESIDENTS: No provision of a marital property agreement, a unilateral settlement agreement under Wis. Stat. §766.59, or a court decree under Wis. Stat. §766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision.


PRIVACY POLICY


WHAT DOES HERB CONNOLLY AUTO GROUP DO WITH YOUR PERSONAL INFORMATION?

Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do.


The types of personal information we collect and share depend on the product or service you have with us. This information can include:


  • Social Security number and employment information
  • Account balances and payment history
  • Credit history and credit scores

All financial companies need to share customers' personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Herb Connolly Auto Group chooses to share; and whether you can limit this sharing.


Reasons we can share your personal information Does Herb Connolly Auto Group share? Can you limit this sharing?
For our everyday business purposes — such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus Yes No
For our marketing purposes — to offer our products and services to you Yes No
For joint marketing with other financial companies Yes No
For our affiliates' everyday business purposes — information about your transactions and experiences Yes No
For our affiliates' everyday business purposes — information about your creditworthiness No We don't share
For our affiliates to market to you No We don't share
For our affiliates to market to you No We don't share

Questions? CALL: 508-820-9313



Who we are
Who is providing this notice? Herb Connolly Auto Group, Herb Connolly Acura, Herb Connolly Chevrolet and Herb Connolly Hyundai

What we do
How does Herb Connolly Auto Group protect my personal information? To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings.
How does Herb Connolly Auto Group collect my personal information? We collect your personal information, for example, when you
  • apply for financing or apply for a lease
  • give us your contact information or provide account information
  • show your government-issued ID

We also collect your personal information from others, such as credit bureaus, affiliates, or other companies.
Why can't I limit all sharing? Federal law gives you the right to limit only
  • sharing for affiliates' everyday business purposes—information about your creditworthiness
  • affiliates from using your information to market to you
  • sharing for nonaffiliates to market to you

State laws and individual companies may give you additional rights to limit sharing.

Definitions
Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies.
  • Herb Connolly Auto Group does not share with our affiliates
Nonaffiliates Companies not related by common ownership or control. They can be financial and nonfinancial companies.
  • Herb Connolly Auto Group does not share with nonaffiliates so they can market to you
Joint Marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you.
  • Herb Connolly Auto Group doesn't jointly market

  I do not want my information disclosed to nonaffiliated third parties.