Secure Credit Application by VEB Auto Sales in Hartford, CT

We can offer many sources of financing for our vehicles, including through credit unions. We are able to help arrange financing for most people. Please fill out form completely in order to qualify.

* Required    
* First Name:   
M. Initial:   
* Last Name:   
Maiden Name:   
Marital Status  
* Email Address:   
* Home Phone:   
Work Phone:   
Cell Phone:   
* Date of Birth:   
* Social Security #:   
* Address:   
* City:   
* State:   
* Zip:   
Do you Rent or Own:   
Monthly Rent/Mortgage $  
How long have you stayed here?:    Years
     Current Employer
* Work Status:   
* Company:   
* Phone Number  
Job Title:   
* Paid (wk, bi-wk)  
* Monthly Gross Income $   (Before Taxes)
* How long on this job?:    Years
     Other Income / Expenses
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Please let us know of any additional information we should consider.

Credit Report.
A credit report may be obtained in connection with this application, for extension of credit for which application was made. Upon request, I will be told if a credit report(s) was/were obtained, and given the name and address of the credit reporting agency(s) providing the report(s).

Credit Investigation.
I authorize the dealer/Lender(s) to start a credit investigation, including verification of employment and income history from state records including State Employment Security Agency records, based on the information voluntarily provided by me which is true and correct, and reflects all my current debts.

Privacy Policy.
Before submitting an application for financing, you must first read and accept the conditions of our Privacy Ploicy.

By submitting this form, you agree to all of the above. If you do not, please do not submit this information.

By typing my name below, this certifies that the above information is true and complete to the best of my knowledge and serves as my electronic signature.
* Your Signature :  
Security: We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline. Wherever we collect sensitive information (such as credit card data), that information is encrypted and transmitted to us in a secure way. You can verify this by looking for that closed lock icon at the bottom of your web browser, or looking for “https” at the beginning of the address of the web page. While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment. If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone or via email.