In connection with your transaction we may collect non-public personal information about you from the following sources:
Information we receive from you on your applications or other forms;
Information about you transactions with us, our affiliates or others; and
Information we receive from a consumer-reporting agency.
We may disclose all of the information that 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 disclose non-public personal information about you to the following types of third parties: Financial service providers such as lenders, loan brokers, named insurance agents, and non-financial companies such as automobile manufacturers.
We may also disclose non-personal information about you to non-affiliated third parties as permitted by law.
If you prefer that we not disclose non-personal information about you to non-affiliated third parties, you may opt out of those disclosures, that is, you may direct us not to make those disclosures other than disclosures permitted by law. If you wish to opt out of disclosures to non-affiliated third parties you may do so by indicating the same at the bottom of this form.
We may disclose non-public personal information about you to our affiliates or others such as your account balances, payment histories, and loan payoff, etc.
We restrict access to non-public impersonal information about you to those employees who need to know that information in order to provide the products and services you have requested. We maintain physical, electronic and procedural safeguards that comply with federal regulations to guard your non-public personal information.
Customer acknowledges receipt of a copy of this Privacy Notice on the date indicated.
Dated: _____________________ Dated:_______________________
___________________________ ____________________________
Customer Signature Co-Customer Signature
[__] I wish to opt out of disclosure to non-affiliated third parties: ____ initials. |
