Applicant Information

• Full Name:
• Date of Birth:
• Social Security Number:
• E-mail Address:
• Home Phone:
• Cell Phone:
• Address:
• City, State, Zip: ,
• Type of Residence: Rent Own
• Monthly Payment:
• Time at Residence: 0 1 2 3 4 5 6 7 8 9 10 11 Months 0 1 2 3 4 5 6 7 8 9 10+ Years

Employment Information

• Employer:
• Occupation:
• Monthly Income:
• Business Address:
• City, State, Zip: ,
• Business Phone:
• Length of Employment: 0 1 2 3 4 5 6 7 8 9 10 11 Months 0 1 2 3 4 5 6 7 8 9 10+ Years
• Additional Monthly Income:
• Additional Income Source:

Desired Vehicle Information

• Year / Make / Model:
• VIN (Optional):

Loan Information

• Amount Required:
• Money Down:
• Loan Term: 36 Months 48 Months 60 Months
• Trade In: Yes No

• In connection with your transaction, Shelby Motors may obtain information about you as described in this notice, which we handle as stated in this notice. 1. We collect nonpublic 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 2. We may disclose all of the information we collect, as described above, to companies that perform marketing services on our behalf or to other financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer. 3. We may also disclose nonpublic personal information about you as a consumer, customer, or former customer, to non-affiliated third parties as permitted by law. 4. We restrict access to nonpublic personal information about you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
• I agree to the privacy agreement