Credit Application -- myvolvos.com

Please complete form below:

Check box if you are a previous/current Volvo Finance Customer:

Check one box:

	Individual - Applying for credit in your own name and 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
	Joint - Applying credit with another person
	Individual - Applying for individual credit, but relying on income from alimony child support, or separate maintenance or the income or assets of another person as the basis for repayment of the credit requested.
	Business Guarantor - Applying for credit as a guarantor for a Corporation, Partnership, Proprietorship or other business entity.

Applicant's Personal Credit Information

Social Security Number:

Last Name:

First Name:

MI:

Birth Date (MM/DD/YY)

/ /

Do you currently:

	Own
	Rent
	Live with Family
	Other

Street Address:

City:

State:

Zip Code:

Country:

Apartment Number:

PO Box Number:

Home Phone Number:

Time at Address:

(Years) (Months)

Monthly Mortg./Rent Payment:

Email Address:

Employer:

Time Employed:

(Years) (Months)

Mortgage Company:

Occupation:

Business Phone Number:

Annual Salary:

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying obligation.

Sources of Other Income:

Total Other Income:

Co-Applicant's Personal Credit Information (Please complete below if applicable)

Social Security Number:

Relationship to Primary
Applicant:

Last Name:

First Name:

MI:

Birth Date (MM/DD/YY)

/ /

Do you currently:

	Own
	Rent
	Live with Family
	Other

Street Address:

City:

State:

Zip Code:

Country:

Apartment Number:

PO Box Number:

Home Phone Number:

Time at Address:

(Years) (Months)

Monthly Mortg./Rent Payment:

Email Address:

Employer:

Time Employed:

(Years) (Months)

Mortgage Company:

Occupation:

Business Phone Number:

Annual Salary:

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying obligation.

Sources of Other Income:

Total Other Income:

Other Information

Name of Friend or Relative
not living with you:

Phone Number of Friend or
Relative not living with you:

Address of Friend or Relative
not living with you:

As used in this paragraph, "we and "us" shall refer to the Retailer and to any financial institution to whom the Retailer submits this application for credit. You certify that there are no suits, judgements or legal claims against you. For the purpose of securing credit from us, you certify that the above information is true and complete and has been provided to induce us to approve this application. You hereby authorize us to investigate your credit and employment history. We may request and use subsequent consumer reports, in connection with an update, renewal, or extension of the credit fo which this application is being made.

FAIR CREDIT REPORTING ACT DISCLOSURE: This application for credit may be submitted by the Retailer to the following financial institutions. Name and Address: Volvo Finance North America Inc. at 25 Phillips Parkway, Montvale, NJ 07645

Notice: A consumer report may be requested in connection with this credit application or in connection with an update, renewal, extension, or enforcement of credit granted as a result of this application. You upon request will be informed whether or not a consumer report was requested. If a report is requested you will be informed of a name and address of the consumer reporting agency that furnished the report. You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer mus be approved by us.