Village Auto
Green Bay

1650 Velp Ave Green Bay, Wisconsin 54303 (920) 499-9049

Village Auto
Oconto

5660 Highway 41 Oconto, Wisconsin 54153 (920) 835-9049

Village Auto
Pulaski

891 County Road B Pulaski, Wisconsin 54303 (920) 822-9049
Online Credit Application
Page 1  
Applicant
 
 First Name: *  Date of Birth: *
 M.I.: *  S.S.# * - -
 Last Name: *  
 
 Home Phone: *
 Work Phone: *
 Cell Phone: *
 Email:
 
 How would you like us to contact you:
 *
 
Current Address
 
 Street: *
 City: *
 State: *
 Zip: *
 Years at This Residence: *
 Own or Rent: *
 Housing Payment: *
Current Employer
 
 Name: *
 Phone: *
 
 
 Years At This Employer: *
 Gross Monthly Income: *
 
 Additional Income:  

Alimony, child support, separate maintenance payments, medical insurance payments, disability income, or wage continuation payments need not be revealed if applicant does not choose to have it considered as a basis for repayment of this obligation.

 
 
 Additional Information that may help during
 our review process (maximum 250 characters)
  
 
 
 Vehicle Interested In:
 
 Trade-In Information:
 
  Fields marked with * are required.
 
 Will there be a Co-Applicant? *No   Yes   
 
 

Village Auto
Green Bay

1650 Velp Ave Green Bay, Wisconsin 54303 (920) 499-9049

Village Auto
Oconto

5660 Highway 41 Oconto, Wisconsin 54153 (920) 835-9049

Village Auto
Pulaski

891 County Road B Pulaski, Wisconsin 54303 (920) 822-9049
Online Credit Application
Page 2  
Co-Applicant
 
 First Name: *  Date of Birth: *
 M.I.:      S.S.# * - * - *
 Last Name: *  
 
 Home Phone:
 Work Phone:
 Cell Phone:
 Email:
 
 How would you like us to contact you:
 
 
Current Address
 
 Street: *
 City: *
 State: *
 Zip: *
 Years at This Residence:
 Own or Rent:
 Housing Payment:
Current Employer
 
 Name:
 Phone:
 
 
 Months At This Employer:
 Gross Monthly Income: *
 
 
 
 Additional Income:  

Alimony, child support, separate maintenance payments, medical insurance payments, disability income, or wage continuation payments need not be revealed if applicant does not choose to have it considered as a basis for repayment of this obligation.

 
 
 
 Additional Information that may help during
 our review process (maximum 250 characters)
  
 
 

Village Auto
Green Bay

1650 Velp Ave Green Bay, Wisconsin 54303 (920) 499-9049

Village Auto
Oconto

5660 Highway 41 Oconto, Wisconsin 54153 (920) 835-9049

Village Auto
Pulaski

891 County Road B Pulaski, Wisconsin 54303 (920) 822-9049
Online Credit Application
Page 2  

Privacy Policy
Village Auto takes online privacy very seriously. This application is being created and transmitted in a secure environment. Your personal data will be encrypted. In connection with your transaction we may obtain nonpublic personal information about you and that information is handled as stated in this notice. This does not apply to information obtained in a non-financial transaction.

 1.

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

 
  a.

Information we receive from you on an application for credit or other similar forms;

 
  b.

Information about your transactions with us and others; and,

 
  c.

Information we receive from a consumer-reporting agency.

 
 2.

Please be aware that it is our policy to disclose the above nonpublic personal information to only those companies that perform marketing services or other functions on our behalf or to other financial institutions with which we have joint marketing agreements.

 
 3.

We do not disclose any nonpublic personal information about your to anyone except as permitted by law.

 
 4.

Further, we restrict access to your nonpublic 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. For your safety, we maintain physical, electronic and procedural safeguards that comply with federal regulations to further guard your nonpublic personal information.