Secure Finance Form

Important Note:  Please be sure that your current Drivers License matches the information you submit on this application to avoid any delays.  We will need a copy of your Drivers License once the process begins. Please forward a copy of your driver's license to dfitch@jwrvlv.com or text a picture to your salesperson as this will be needed in order for us to run your credit. Salesperson will delete your information once forwarded to the necessary department.

This is a secure page and your information is safe and protected.  

If you have any questions and would like to speak with one of our specialists please call 702.436.2495

My Sales Person

Required fields are red and bolded.

Primary Applicant Contact











Housing Info







 

Personal Address











Employer and Income








Optional Co-Applicant































Additional Information







Privacy Notice

In connection with your transaction, the dealership may obtain information about you as described in this notice.

1. We collect nonpublic personal information about you from the following sources: Information we receive from you on applications or other forms; Information about your transactions with us, our affiliates or others; and, Information we receive from consumer reporting agency (e.g., credit bureau).

2. We may disclose all of the information we collect, as described above, to companies that perform marketing services on our behalf or to financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer.

3. We may also disclose nonpublic personal information about you as a customer, customer for former customer to non-affiliated third parties as permitted by law.

4. We restrict access to nonpublic personal information about you to those dealership personnel who need to know that information in order to determine your eligibility for products and services, and to provide you with products and services, and to those who are subject to confidentiality provisions and restrictions that prohibit use of information beyond the performance of specified services. To guard your nonpublic personal information we maintain physical, electronic, and procedural safeguards that comply with federal standards.

By submitting this application, you represent that all information in the form is accurate and complete to the best of your knowledge. You are also confirming that you are competent to enter into contracts and that no bankruptcy proceedings are in progress or anticipated which involve you. Please note that credit is granted based on scores, payment history, assets, etc. and the decision is that of the bank, not us. We may retain this application whether or not credit is granted. You agree to pay all fees in connection with your loan. You authorize us to obtain information from others concerning your credit standing and other relevant information impacting on this application. Your electronic signature confirms you understand our policies, terms and conditions and grants us permission to commence your loan.
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