Contact Info

First Name*

Last Name*

Email Address*

Phone #*

Street Address*

Address line 2

City*

State*

Zip Code*

Date of Residency (years)*

Let us know how long you have lived at this residence in years.

Monthly Rent/Mortgage*

Social Security #*

Date of Birth*

Drivers Licence #*

Drivers Licence State issued*

Drivers Licence Expiration *

Employment info

Employer Name*

Employer Phone #*

How long have you been employed (years)*

Gross Monthly Income*

Previous Employer Name if employed less than two years

Length of Previous Employment

Additional Income Source

Additional Monthly Income

Tell us about the vehicle you want

Year

Make

Model

Trim

Total Loan Amount*

How much down payment?*

HOW WOULD YOU LIKE US TO CONTACT YOU?

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I agree to give permission for the above applicant(s) Consumer Credit Report(s) to be obtained, at no cost to me, in order to help determine the types and extent of financing which are available*

In connection with your transaction, Sabattus Auto and Truck Store may acquire information about you as described in this notice, which we handle as stated in this notice.

We may collect personally identifiable information such as name, postal address, telephone number, e-mail address, social security number, date of birth, etc. This personal information is collected and used by Dealerfire Credit Application staff for the purpose of facilitating a relationship or business transaction.

Our website resides behind a firewall and uses SSL (Secure Sockets Layer, the industry-standard security protocol used to communicate with browsers) to transmit personal information. Data is strongly encrypted during transmission to ensure that personal and payment information is secure. Industry-standard data encryption techniques are used to protect personal information.

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Down payment

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