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Southern States
Volkswagen of Durham

3823 Durham-Chapel Hill Blvd
Durham NC 27707
DIRECTIONS

Toll-Free: (888) 998-5060
Fax: (919) 493-2322




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Credit Application
The Southern States Volkswagen of Durham Support Staff stands ready to assist you in your purchase of a new vehicle today! Please take a few minutes to fill out this convenient on-line credit pre-application and we will begin the process. The form is encrypted for security purposes. A Credit Support Specialist will contact you when we have received and reviewed your application. Thank you for visiting Southern States Volkswagen of Durham!

It is important to provide us with at least two years of residency and at least 2 years of work history.  Current home/cell number and work numbers are essential as well.  We will not contact a work number if specified not to.  If you have any questions you may call at any time.  919.493.7411

 
 Contact Information
 * required fields - (At least one phone number is required)

First Name *
Middle Name
Phone *
Cell *
Email *
Zip *
Preferred Contact
Purchase Timeframe *
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Last Name *

Comments
Social Security * (xxx-xx-xxxx)
Date of Birth * - (mm/dd/yyyy)
Driver's License #
Issuing State
 
Current Street Address *
Time At Current Address *
Monthly Rent/Mortgage? *
Do You Rent or Own? *
Rent Own
 
If LESS THAN 2 YEARS at Current Address, please supply the following.
Full Previous Address (incl. City, State)
Time at Previous Address
 
 
 Are You Currently Retired? *

Yes No
 
 
 Financial Information
Your Banks Name *
Bank Accounts Held *
Other Sources of Income
Gross Monthly from Source
 
 
 Insurance Information
Insurance Provider
Policy Number
 
 
 Do You Have A Trade-In?

Yes No

Privacy Policy:
Please read and acknowledge the following before submitting your Credit Application
In connection with your transaction, Southern States Volkswagen of Durham may obtain information about you as described in this notice, which we handle as stated in this notice. This does not apply to information obtained in a non-financial transaction.

1.  We collect non-public personal information about you from the following sources:

  • Information we receive from you on applications or other forms in connection with a financial transaction;
  • Information about your transactions with us, our affiliates or others; and,
  • Information we receive from consumer reporting agencies.

2.  Our policy is only to disclose your personal non-public information to only those companies that perform marketing services on our behalf or to other financial institutions with which we have joint marketing agreements.

3.  We do not disclose any non-public personal information about you to any one, except as permitted by law.

4.  Further, we restrict access to your non-public personal information to only those employees who need to know that information to provide products or services to you. Employees cannot use your information for any other purpose. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public personal information.

NOTE: Price(s) include(s) all costs to be paid by a consumer, except for licensing costs, registration fees and taxes.

 Customer Acknowledgment: I (we)acknowledge that I (we) received a copy of this notice on April 20, 2014

Please Confirm:
Southern States Volkswagen of Durham has my permission to handle my information as described in its Privacy Policy, which I have read and understand and by submitting the above information I authorize a credit check to be performed in order to evaluate the financing options that can be provided to me.

 
Vehicle Information
Year *
Make *
Model *

 
Payment Information
Payment Method *
Down Payment *
Desired Monthly Payment *

Active Military?
Yes

Declared Bankruptcy in the Last 7 Years? *
No Yes

Cosigner Available?
Yes No
 
 
In-Store Information
Already working with an Associate?
Please include his/her name.

Associate's Name

   




 
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Advertising Agency Raleigh Charlotte NC


NOTE: Price(s) include(s) all costs to be paid by a consumer, except for licensing costs, registration fees , $489 administrative fees and taxes. Vehicle inventory and promotional offers are updated frequently. Please note that all vehicles are subject to prior sale and promotional offers may be canceled without notice.

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©2014 Southern States Volkswagen of Durham 3823 Durham-Chapel Hill Blvd, Durham, NC 27707
Local: (919) 493-7411   Toll-Free: (888) 998-5060   Fax: (919) 493-2322