Dominion Motors, Quality Used Cars, Trucks, Vans, SUVs in VA

CREDIT DEPARTMENT

At Dominion Motors we provide In-House financing (Buy Here/Pay Here) to all area residents without all the requirements and limitations that most lending institutes have. If you have visited our Inventory Page and are ready to secure your financing, simply fill out the application below. Then, either print and fax the application to us at 540-667-4412 or click the Submit Button at the bottom. Dominion Motors will go to work securing a loan for you right away!

All fields listed in RED are necessary in order for form to be sent.

Personal Information
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip Code:
Previous Address:
Previous City:
Previous State:
Previous Zip Code:
Home Phone:	( ) -
Work Phone:	( ) - , ext.
Email
Social Sec. #:	- -
Date of Birth:	month day year

Residence Information
Residence Type:	Own Rent
How Long Here?	yrs. mos.
How Long at Prior Residence?	yrs. mos.

Employment Information
Employer:
Phone:	( ) -
Time with Current Employer:	1 yrs. mos.
Monthly Income (net):
Current Job Title:
Previous Employer:
Phone:	( ) -
Time with Previous Employer:	1 yrs. mos.
Monthly Income (net):
Previous Job Title:

Down Payment Information
How much do you have towards a down payment?

Trade-In Information
Do you have a trade-in?	Yes No
Year of vehicle:
Make of vehicle:
Model of vehicle:

Other Information
How did you hear about us?
I have read the Privacy Disclosure Notice below and understand it thoroughly.

The protection of your nonpublic personal information is important to our dealership. It is common for companies like ours to share your nonpublic personal information with affiliated third parties (a company that is related by common ownership or corporate control) and, in some cases, with nonaffiliated third parties. Because we recognize that keeping your nonpublic personal information private is important to you, we would like to take this opportunity to explain our Privacy Policy.

About Our Privacy Policy

Our Privacy Policy applies to those persons who obtain from us financial products or services to be used for personal, family, or household purposes. Our goal is to respond to your inquiries and to provide products, services and other information you request. This Privacy Policy explains:

The types of information we may collect from you
The types of information we may disclose to third parties
The types of third parties to whom we may disclose information
How we protect the nonpublic personal information we collect about you

The Types Of Information We May Collect About You

We may collect nonpublic personal information about you from the following sources:

Information we receive from you on applications or other forms, such as your name, address, telephone numbers, e-mail addresses, birth date, social security number, income and employment history.
Information about your transaction with us or others, such as you account balances and payment histories.
Information we receive from your consumer credit reports or a consumer reporting agency such as your credit worthiness, credit score or credit history.
Representations made by you to us, such as your employment history, account balances, payment histories, and your relationship with other persons or entities that you have listed as references.

The Types Of Information We May Disclose

We may disclose all of the nonpublic personal information that we collect about you as a consumer, customer, or former customer to third parties as permitted by law. We may also disclose the nonpublic personal we collect about you to third parties that perform services on our behalf or in connection with the products and services we sell to other financial institutions with whom we have joint marketing agreements, such as third parties who: manufacture, supply, or administer the goods and services, including insurance products, warranties and extended service contracts; advertise or market the products and services; make service and customer satisfaction inquiries on our behalf; or provide other related marketing services. We are permitted by law to disclose information about you to third parties that perform such services and/or to other financial institutions with whom we have joint marketing agreements. We are not required to give you the opportunity to opt out of such disclosures.

How We Protect The Nonpublic Personal Information We Collect About You

We take our responsibility to protect your nonpublic personal information very seriously. Whenever we collect information about you, we restrict access to your nonpublic personal information to our employees and those third parties who need the information to respond to your inquiries, to provide better customer service, and to provide products, services and other information you request. We explain the importance of protecting your nonpublic personal information to our employees and take appropriate measures to enforce employee responsibilities regarding our Privacy Policy. We also maintain physical, electronic and procedural safeguards to protect the confidentiality and security of the information we collect. We require any third party who receives information about you from us to agree to keep that information confidential and to use the information only as permitted by law.

We appreciate your business and the opportunity to assist you in understanding our Privacy Policy. We hope that you have found this information to be useful and appreciate the opportunity to continue to serve you in the future. If you have any questions about our Privacy Policies, please feel free to contact us.