Credit Application 
By clicking the Submit Application Button below you are agreeing to allow Jim Shell Auto Sales to pull your credit and share your information with their lenders in order to assist you in getting car credit.

First Name:
Middle Initial
Last Name:
Address:
City:
State:
Zip Code:
Time At Residence
Landlord or Mortgage Company
Monthly Payment
Previous Address (If less than 2 years at current residence
Date Of Birth
Social Security#
Home Phone#
Cell Phone#
Work Phone#
Email Address
Checking Acct. & Bank Name
Savings Account & Bank
Nearest Living Relative
Relative's Address
City/State/Zip
Relative Phone#
Current Employer
Employer's Address
City/State/Zip
Job Title
Name of Supervisor
Employer Phone#
Time on Job
Monthly Gross Income
Other Income
Other Income Source
Vehicle Of Interest
Planned Down Payment
How did you hear about us
Comment


 

Privacy Policy Notice:
In order to assist you with your financial needs in connection with your transaction, Selling Dealer may need to collect and maintain certain customer information from you. This notice tells you how we may collect and use this information.

We collect non-public 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 a consumer reporting agency

The Selling Dealer does not disclose this information to non-affiliated third parties, except as permitted by law. We may share all of the information we collect with companies that perform marketing services on our behalf or with other financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer.

We may also disclose non-public personal information about you as a consumer, customer, or former customer, to non-affiliated third parties as permitted by law. In some cases, the vehicle manufacturer requires that we disclose this information to them for warranty, promotional and/or other purposes.

The Selling Dealer takes your privacy expectations very seriously. We restrict access to non-public personal information about you to service providers who need to know that information to do mailings and marketing to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public personal information. If you learn of inaccurate information, please contact your Selling Dealer to correct it.

By clicking "Submit Form" the applicant(s) indicate(s) permission and agreement to the terms noted, and certify applicant(s) have received and read the Privacy Policy Notice of Selling Dealer noted on this page.


Site Mailing List 
859-525-3333

Jim Shell Auto Sales
8000 US 25
Florence, Ky. 41042
Phone: 8595253333
Powered by NetIDNow
WebStudio Website Builder