Principal Owner Information

First Name*

Last Name*

Phone Number*

Email Address*

Street Address*

City*

State*

Zip Code*

Date of Birth*

Percent of Ownership*

Company Information

Legal Name of Business

Employer Phone

Business Email

Type of Business*

Tax ID #*

Address*

City*

State*

Zip Code*

In Business Since*

Gross Profit (Monthly Income)*

Business Mortgage Type

Monthly Payment/Rent

You are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.

You are applying for credit in the name of the business and are relying on the business income or assets and not the income or assets of another person as the basis for repayment of the credit requeste

By submitting this form, I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended.

In connection with your transaction, Net Direct Auto Sales 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 Net Direct Auto Sales 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.

FINANCING MADE EASY

THE NET DIRECT WAY

FINANCING MADE EASY

THE NET DIRECT WAY

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