Closing Soon

Mon:	9:00a - 7:00p
Tue:	9:00a - 7:00p
Wed:	9:00a - 7:00p
Thu:	9:00a - 7:00p
Fri:	9:00a - 6:00p
Sat:	9:00a - 4:00p
Sun:	Closed

Contact Sales

Closed

(570) 991-6847

Mon:	7:00a - 5:00p
Tue:	7:00a -5:00p
Wed:	7:00a - 5:00p
Thu:	7:00a - 5:00p
Fri:	7:00a - 5:00p
Sat:	8:00a - 12:00p
Sun:	Closed

Contact Service

Closed

(570) 655-4575

Mon:	8:00a - 4:30p
Tue:	8:00a - 4:30p
Wed:	8:00a - 4:30p
Thu:	8:00a - 4:30p
Fri:	8:00a - 4:30p
Sat:	Closed
Sun:	Closed

Contact Body

Closed

(570) 991-6847

Mon:	7:00a - 5:00p
Tue:	7:00a - 5:00p
Wed:	7:00a - 5:00p
Thu:	7:00a - 5:00p
Fri:	7:00a - 5:00p
Sat:	8:00a - 12:00p
Sun:	Closed

Contact Parts

229 Mundy St. • Wilkes-Barre, PA 18702

Sales: (570) 991-6817

Service: (570) 991-6847

Sales: (570) 991-6817

Ken Pollock Nissan Secure Credit Application

Credit Application

Personal Info

First Name *

Last Name *

Middle Initial

Email Address *

Home Phone

Work Phone

Mobile Phone *

Birthdate

Social Security Number *

Drivers License Number

Personal Info

Address *

Apartment

City *

State *

Zip *

Housing Status

Landlord/Mortgage Holder

Monthly Rent/Mortgage Amount

Years/Months At Address

Previous Housing Status

Previous Address

Previous City

Previous Apartment

Previous Zip

State

Employment Info

Current Employer

Employer Phone

Employer Address

Employer City/State

Current Occupation

Gross Income (Before taxes)

Net Income (After taxes)

Payment Frequency

Years/Month at Current Employer

Previous Employer

Previous Employer City/State

Years/Months at Previous Employer

Other Income

Co-Signer Information

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Middle Initial

Co-Applicant Email Address

Relationship to Applicant

Co-Applicant Home Number

Co-Applicant Work Phone

Co-Applicant Mobile Phone Number

Co-Applicant Birthdate

Co-Applicant Social Security Number

Housing Status

Monthly Rent/Mortgage Amount

Co-Applicant Address

Co-Applicant Apartment

State

Co-Applicant City

Co-Applicant Drivers License Number

Co-Applicant Zip

Co-Applicant Employment Info

Co-Applicant Employer

Co-Applicant Employer Phone

Co-Applicant Employer Address

Co-Applicant Employer City/State

Co-Applicant Current Occupation

Co-Applicant Gross Income (Before taxes)

Co-Applicant Net Income (After taxes)

Co-Applicant Payment Frequency

Co-Applicant Years/Month at Current Employer

Co-Applicant Years/Month at Previous Employer

Co-Applicant Previous Employer City/State

Co-Applicant Other Income

Finish

Comments / Questions?

Contact Time *

Text Area

APPLICATION DISCLOSURE

The words "you," "your" and "yours" mean each person submitting this application. The words "we," "us," "our" and "ours" as used below refer to the dealer and to the Financial Institutions selected to receive your application.

You authorize the dealer, as part of the credit underwriting process, to submit this application and any other application submitted in connection with the proposed transaction to the Financial Institutions disclosed to you by the dealer, for review. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such Financial Institutions may submit your applications for review to other Financial Institutions that may want to purchase your contract.

You agree that we and any Financial Institutions to which your application is submitted may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction.

You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information.

You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction.

We may keep this application and any other application submitted to us, and information about you whether or not the application is approved. You certify that the information on this application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties.

FEDERAL NOTICES

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
        To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name,address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

STATE NOTICES

Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin Residents: If you, the applicant, are married and live in a community property state, you should also provide the personal credit information on your spouse in the co-applicant section. Your spouse is not required to be a co-applicant for the credit requested unless he/she wishes to be a co-applicant.

California Residents:An applicant, if married, may apply for a separate account.

Ohio Residents: Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

New Hampshire Residents:If this is an application for balloon financing, you are entitled to receive, upon request, a written estimate of the monthly payment amount that would be required to refinance the balloon payment at the time such payment is due based on the creditor's current refinancing programs.

New Hampshire Residents: In connection with your application for credit, we may request a consumer report that contains information on your credit worthiness, credit standing, personal characteristics and general reputation. If we grant you credit, we or our servicer may order additional consumer reports in connection with any update, renewal or extension of the credit. If you ask us, we will tell you whether we obtained a consumer report and if we did, we will tell you the name and address of the consumer reporting agency that gave us the report.

Vermont Residents:By clicking on "Submit", you authorize us and our employees or agents to obtain and verify information about you (including one or more credit reports, information about your employment and banking and credit relationships) that we may deem necessary or appropriate in evaluating your application. If your application is approved and credit is extended, you also authorize us, and our employees and agents, to obtain additional credit reports and other information about you in connection with reviewing the account, increasing the available credit on the account (if applicable), taking collection on the account, or for any other legitimate purpose.

Married Wisconsin Residents:Wisconsin law provides that no provision of any marital property agreement, or unilateral statement, or court order applied to marital property will adversely affect a creditor's interests unless, prior to the time that the credit is granted, the creditor is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. If you are making this application individually, and not jointly with your spouse, the full name and current address of your spouse must be properly disclosed in the co-applicant section of this application.

I have read and I understand and accept the terms of the Application Disclosure. *

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