Car Loan Application - Jim Ellis Audi of Atlanta

The form is submitted using an HTTPS form action. All sensitive data is encrypted before transmission and is never sent as clear-text.

Contact Information

Sales Person's Name
*First Name
*Last Name
Middle Initial

*Email
*Home Phone
Work Phone

*Social Security Number
*Date of Birth
*Drivers License Number
*State of Issue

Address Information

*Street
Apartment
*City
*State
*Zip Code

Do you rent or own your residence?
Landlord/Mortgage Holder
*Rent/Mortgage Monthly Amount

*Time at Current Residence yrs mos

Previous Residence
Previous Street
Previous Apartment
City
State
Zip Code

Employment Information

*Place of Employment
*Occupation
Business Phone
*State

*Time At Current Employer yrs mos

*Gross Income - Before Taxes
*Other Income - Source
Other income - Amount

*Previous Employer
*Previous Occupation
*Previous Employer Phone

*Time At Previous Employer yrs mos

Banking Information

*Name of Bank
Account Types
Name of Bank
Account Types

Comments

Co-Applicant section

Co-Applicant Information

First Name
Last Name
Middle Initial
Email

Home Phone
Work Phone
Social Security Number
Date of Birth

Apartment
Street
City
State
Zip Code

Co-Applicant Employment Information

Place of Employment
Occupation
Business Phone
Drivers License Number

Time At Current Employer yrs mos

Gross Salary
Net Salary
Other Income

Previous Employer
Previous Occupation
Previous Employer Phone

Time At Previous Employer yrs mos

Important Privacy Information

Privacy Statement

FACTS 
 What does Jim Ellis Automotive Dealerships do with your personal information?
 
 Why? 
 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.
  What? 
 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 income
  * Account Balances and payment history
  * Credit history and credit scores
 When you are no longer our customer, we continue to share your information as described in this notice.
 How? 
 All financial companies need to share customers' personal information to run their everyday business.  In the section below, we list the reasons financial companies share their customers' personal information; the reasons JIM ELLIS AUTOMOBILE DEALERSHIPS chooses to share; and whether you can limit this sharing.
 
 Reasons we can share your personal information
 
 Does JIM ELLIS AUTOMOBILE DEALERSHIPS 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
 
 Does Jim Ellis Share? Yes Can you limit this sharing? No
 For our marketing purposes?
 To offer our produce and services to you
  
 Does Jim Ellis Share? Yes Can you limit this sharing? No
 For our affiliates? everyday business purposes-
 Information about your transactions and experiences
 
 Does Jim Ellis Share? Yes  Can you limit this sharing? No
 
 For our affiliates? everyday business purposes?
 Information about your creditworthinesa
 
 Does Jim Ellis Share? Yes  Can you limit this sharing? Yes
 For our affiliates to market to you
 
 Does Jim Ellis Share? Yes  Can you limit this sharing? Yes
 For our non-affiliates to market to you 
 
 Does Jim Ellis Share? No  Can you limit this sharing? No
 
 To limit our sharing -- Call 770-792-4511 or
 Visit us online:  www.jimellis.com/optout.htm
 
 Please note:
 If you are a new customer, we can begin sharing your information (30) days from the date we sent this notice.  We you are no longer our customer, we continue to share your information as described in this notice.
 However, you can contact us at any time to limit our sharing.
 Questions? Call 770-792-4511 or go to www.jimellis.com/optout.htm
 
  
                                                                     Who is providing this notice?
  
 JIM ELLIS AUTOMOBILE DEALERSHIPS
 
 How does JIM ELLIS AUTOMOBILE DEALERSHIPS 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 JIM ELLIS AUTOMOBILE DEALERSHIPS collect my personal information?
  
 We collect your personal information, for example, when you
 
  * Apply for a lease or apply for financing
  * Pay us by check or give us your contact information
  * Show us your driver’s license
 
 State laws and individual companies may give you additional rights to limit sharing.
 
 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 non-affiliates to market to you
 
 State laws and individual companies may give you additional rights to limit sharing
 
 What happens when I limit sharing for an account I hold jointly with someone else?
   
 Your choices will apply to everyone on your account unless you tell us otherwise.
 
 Definitions
 
 Affiliates Companies - related by common ownership or control.  They can be financial and nonfinancial companies.
  
 Non-affiliates - Companies not related by common ownership or control.  They can be financial and non-financial companies.
 JIM ELLIS AUTOMOBILE DEALERSHIPS does not share with non-affiliates so they can market to you.
 
 Joint marketing - A formal agreement between non-affiliated financial companies that together market financial products or services to you.
 JIM ELLIS AUTOMOBILES DEALERSHIPS does not jointly market.
 Our Affiliates:
 D/B/A Jim Ellis Audi of A5tlanta
 D/B/A Jim Ellis Audi of Marietta
 D/B/A Jim Ellis Buick GMC Mall of Georgia
 D/B/A Jim Ellis Chevrolet Buick GMC
 D/B/A Jim Ellis Collision Center
 D/B/A Jim Ellis Hyundai
 D/B/A Jim Ellis Leasing
 D/B/A Jim Ellis Mazda of Atlanta
 D/B/A Jim Ellis Mazda of Marietta
 D/B/A Jim Ellis Mitsubishi
 D/B/A Jim Ellis Porsche
 D/B/A Jim Ellis Saab Wheego of Atlanta
 D/B/A Jim Ellis Volkswagen of Atlanta
 D/B/A Jim Ellis Volkswagen of Marietta

If you have a joint account, your choice(s) will apply to everyone on your account unless you mark below.

Apply my choices only to me
Do not share information about my creditworthiness with your affiliates on their everyday business purposes.
Do not allow your affiliates to use my personal information to market to me.
*I Authorize

(enter your initials)

Submit

Jim Ellis Audi Atlanta

Sales: 888.225.4770

Finance Application