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Tag Name: ford150

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Personal Info
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Address Info
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Income Info
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Vehicle Info
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Review

The following information will be used to process your credit application. You may apply for joint credit by selecting the 'Add Co-Applicant' button.

First Name *

Last Name *

Phone Number *

Email Address *

Date of Birth *

SSN

ITIN

No SSN

We will keep your information safe and secure.

Social security number can't be empty and only accepts 9 digits numeric value

Add Co-Applicant

First Name *

Last Name *

Phone Number *

Email Address *

Date of Birth *

Relationship Type *

Other Relationship Type*

SSN

ITIN

No SSN

We will keep your information safe and secure.

This is an application for joint credit with another person.
We intend to apply for joint credit.Please check the boxes below to confirm and continue.

* By clicking this box, I intend to appy for joint credit.

* By clicking this box, I confirm that the co-applicant intends to appy for joint credit.

Next we need to know your current address and the length of time that you have lived at that address.

Current Residence

Address *

Address 2

City *

State *

Zip Code *

Residence Type *

How long have you lived there? *

Years

Months

Driver's License Info

License Number *

License State *

Identification & Proof of Residence

Co-Applicant Current Residence Use same address as of applicant

Address *

Address 2

City *

State *

Zip Code *

Residence Type *

How long have co-applicant lived there? *

Years

Months

Co-Applicant Previous Residence

Address *

Address 2

City *

State *

Zip Code *

How long have co-applicant lived there? *

Years

Months

Co-Applicant Driver's License Info

License Number *

License State *

Identification

Here you will be asked for information about your income and employment

Current Employer

Employment Status *

Employer Name *

Employer Phone *

Job Title *

Job Type *

How long have you worked there? *

Years

Months

Employer State

Employer Zip

Employer Address

Employer City

Previous Employer

Employer Name *

Employer Phone *

Job Title *

How long have you worked there? *

Years

Months

Employer State

Employer Zip

Employer Address

Employer City

Gross income *

Your income ( before tax) including salary, wages, overtime and bonuses.

Income Type *

Add Secondary Source of Income

Source of income *

Other gross income *

Alimony, child support or separate maintenance does not need to be revealed if you do not want it considered when repaying this obligation

Proof of Income

Co-Applicant Income Info

Current Employer

Employment Status *

Employer Name *

Employer Phone *

Job Title *

How long have co-applicant worked there? *

Years

Months

Employer Address

Employer City

Employer State

Employer Zip

Previous Employer

Employer Name *

Employer Phone *

Job Title *

How long have co-applicant worked there? *

Years

Months

Employer Address

Employer City

Employer State

Employer Zip

Employer Zip *

Your income (before tax) including salary, wages, overtime and bonuses.

Income Type *

Add Secondary Source of Income

Proof of Income

The last information that we need from you is about the vehicle you are interested in purchasing or leasing, and whether you are trading in a vehicle

Finance Info

Down Payment *

Term(Months) *

Vehicle Info *

Do you have a car to trade-in ? *

Sales Representative

Finance Representative

Please scroll down and review all entered information. Press Apply at the bottom of the page to continue the application process.

Personal Info

Edit

Name
test test

E-mail Address
test1234@gmail.com

Phone Number
7777777777

Date of Birth
02/05/1992

Co-Applicant Name
demo demo

Relationship Type
other customer

E-mail Address
test1234@gmail.com

Phone Number
7656756756

Date of Birth
02/12/2022

Address Info

Edit

Address
test22 test22
indore MD 47022

Residence Type
Owns home Outright

Time At Address
2022 years 12 months

Driver's License Number

Driver's License State

Co-Applicant Address
test22 test22
indore MD 47022
Co-Applicant Residence Type

Co-Applicant Time At Address
2022 years 4 months

Co-Applicant Driver's License Number

Co-Applicant Driver's License State

Employment Info

Edit

Employment Status

Job Title

Employer Name

Employer Phone

Employer Address

Time at Job
Years Months

Gross Income

Social Security Number

Co-Applicant Employment Status

Co-Applicant Job Title

Co-Applicant Employer Name

Co-Applicant Employer Phone

Co-Applicant Employer Address

Co-Applicant Time at Job
Years Months

Co-Applicant Gross Income

Co-Applicant Social Security Number

Finance & Vehicle Info

Edit

Down Payment

Term(Months)
12

Vehicle

Do you have a car to trade-in ?

Sales Representative

Finance Representative

Identification

Attachments

Search. Apply. Drive!

Proof of Address
+
Proof of Income
+
Photo ID
=
APPROVED

Consent and Disclosure

Please review the consent and disclosure notice and click the required box(es) to continue your application

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Houston Direct Auto under the Fair Credit Reporting Act authorizing Houston Direct Auto to obtain information from your personal credit profile or other information from Experian. You authorize Houston Direct Auto to obtain such information solely to conduct a pre-qualification for credit .

* By clicking this box, I agree that this credit application is an electronic credit application submitted using electronic means and such means signifies my intent to submit this credit application to HOUSTON DIRECT AUTO to the same extent as if I had executed the credit application using my written signature.

Dealer Privacy Notice

Please review HOUSTON DIRECT AUTO 's privacy notice and click the box at the bottom of the page to acknowledge.

FACTS	WHAT DOES 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
How?	TAll financial companies need to share customer’s personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customer’s personal information; the reasons Chooses to share; and whether you can limit this sharing.

Reasons we can share your personal information	Does 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	Yes	No
For our marketing purposes-- To offer our products and services to you	Yes	No
For joint marketing with other financial companies	Yes	No
For our affiliates’ everyday business purposes- Information about your transactions and experiences	No	No
For our affiliates' everyday business purposes- Information about your creditworthiness	No	No
For our affiliates to market to you	No	No
For nonaffiliates to market to you	Yes	Yes

To limit
our sharing

Call:
or
Mail the form below

Please note:

If you are a new customer, we can begin sharing your information 30 days from the date we sent/presented this notice. When 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:

Mail-in Form

Stock Number:

If you have a joint account, your choices will be applied to everyone on your account unless you mark below.

Apply my choices only to me

Mark any/all you want to limit:
Do not share information about my creditworthiness with your affiliates for their everyday business purposes.
Do not allow your affiliates to use my personal information to market me.
Do not share my personal information with nonaffiliates to market their products and services to me.

ASHLEI JASMENE COLGATE-EDWARDS
3401 DUNVALE RD #2108
Houston
TX
77063
X 2019-1-2

Mail to:

Who we are
Who is providing this notice?
What we do
How does 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 collect my personal information?	We collect your personal information, for example, when you: Apply for a loan or open an account Apply for a loan or open an account Use your credit or debit card or ach
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 credit worthiness Affiliates from using your information to market to you Sharing for nonaffiliates 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 or nonfinancial companies.
Nonaffiliates	Companies not related by common ownership or control. They can be financial or nonfinancial companies.
Joint Marketing	A formal agreement between nonaffiliated financial companies that together market financial products or services to you.

By signing I am acknowledging receipt of a copy of this Privacy Notice.
	2025-06-22
Customer Signature	Date

* I have read and acknowledged HOUSTON DIRECT AUTO 's privacy notice.

Congratulations!

You've completed the online credit application. As a next step, a representative from our dealership will be in touch with you to let you know the results of your credit application.

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Other Source of Income

Co-Applicant Other Source of Income

Proof of Address

Proof of Income

Photo ID

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