Timberline Auto Center Logo Timberline Auto Center 617 Mineral Ave
Libby, Mt 59923
Phone: 406-293-4128
1-800-491-0891
Fax: 406-293-9033
E-mail
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Timberline Auto Center Consumer Credit Application

Thank you for your interest in purchasing your next new or used vehicle from Timberline Auto Center, Inc. To assist us in your request for credit, please thoroughly complete this application, insert your digital signature where indicated, and provide ALL requested information. When you have completed the form, press the Submit Credit Application button at the bottom of the page.

APPLICATION TYPE *If you are applying for a joint account, each applicant must fill out and submit a separate form.


APPLICANT INFORMATION





How Long at Current Address (months/years)
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City/State/Zip
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Birthdate (mo/day/year)
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Social Security Number
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Phone Number
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Have you lived at the above address for more than 2 years?
   




Previous City/State/Zip
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EMPLOYMENT INFORMATION





Employer City/State/Zip
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Start Date (mo/year)
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Employer Phone
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INCOME INFORMATION *Alimony, child support, or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.


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FINANCIAL INFORMATION






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PERSONAL REFERENCES


Phone
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Phone
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AUTHORIZATION
PLEASE READ BEFORE SIGNING:
In submitting this credit application, I certify that the information provided on this application is, to the best of my knowledge, complete and accurate. I acknowledge that it is a federal crime to knowingly make a false statement of any kind on this application. I understand that Timberline Auto Center, Inc. and financial institution(s) will rely on this information to judge my credit worthiness, and will retain this application and information about me whether or not this application is approved. Furthermore, I understand that you may receive information from others about my credit and you may answer questions and requests from others seeking credit or experience information about me or my accounts with you. I further understand that Timberline Auto Center, Inc. and/or the financial institution(s) that evaluate my application may require additional information. If this application is approved, I agree to honor the provisions of the credit or loan agreement and security agreement covering my account or loan. If this is a joint application, this statement applies to both persons involved.

FAIR CREDIT REPORTING ACT DISCLOSURE: I understand that this application for credit will be submitted by Timberline Auto Center to various financial institutions for evaluation.

  
(This will act as your digital signature. Your application cannot be accepted unless this is signed.)





Timberline Auto Center RapidSSL Secure Certificate Logo
As the security of your personal information is very important to us, Timberline Auto Center, Inc. employs a secure server using Secure Socket Layer (SSL) protocol. Our secure server certificate, RapidSSL, issued by the certification authority GeoTrust, creates an SSL connection enabling encrypted communication and ensuring a secure environment to protect the exchange of data between you and our system.