Enrollment

Matching Payments to Paychecks

We Don't Outsource!

Our customers are always serviced in house.

Matching Payments to Paychecks

We Don't Outsource!

Our customers are always serviced in house.

Reliable. Secure. Convenient.

Save Money and Accelerate Equity

Enroll Now and Start Building Equity!

Tuesday, March 09, 2010 | Register | Login

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Consumers: Please contact our enrollment department at (866)425-3729, ext. 280 to complete enrollment process.

Dealers: Please contact Dealer Services at (866)425-3729, ext. 282 to complete enrollment process – it’s quick and easy.

USEA Equity Advantage Program Enrollment: * items in bold are required

Customer Information Primary Buyer First, Name:
SSN:
Address:
City, St, Zip:
Home ph#:
Work ph#:
Cell ph#:
Email:
Time Zone:

Bank Information Bank Holder Name:
Bank Name:
Bank Acct#:
Bank Routing#:

Account Type:

CheckingSavings

Account Ownership:

PersonalBusiness

Vehicle Information VIN:
Year
Make, Model

Loan Information Contract Date:

Lender to be Paid:
Lender Address:
Loan Amount Financed:
Loan APR:
Loan Term (in months):
Monthly Payment Amount:
Date of 1st Payment:

Days to 1st Payment:

Debit Information Program:

Date of First Debit:

Day of week to Debit:
First Debit Amount:
Bi-Weekly Service Fee:

Total Bi-Weekly Debit Amount:
Date of First Recurring 1/2 Debit:

Equity Advantage Program Equity Advantage Program Fee:

One Time Account Verification Fee:

*to be deducted upon reciept of form
Overdraft Fee-Assessed if Debit NSF:

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