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Insurance Application

At Florida Auto Lease, we’re here to make car leasing and financing a breeze for you, thanks to our awesome insurance options! We team up with some of the biggest insurance companies to give you top-notch coverage without breaking the bank.

 

Knowing how auto insurance premiums work can really help you save. They depend on things like your driving history, the car you drive, your age, and where you live. By combining your insurance needs with us, you get our insider knowledge to snag the best rates just for you.

 

Why not save time and money by having us handle all your car buying and leasing? You’ll love the convenience and savings with Florida Auto Lease!

Insurance Application

Address for Insurance and Registration

Address for Insurance and Registration
Car Make
Vehicle Finance
Primary Use
Miles a Year Driven
Coverage
How Many at Fault Accidents
How Many Tickets

How many tickets in the past 3 years

Terms, Conditions & Disclosure By clicking “Submit Application”, you submit and certify that all of the statements in this application are true and made for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward your application to lenders, financial institutions, or other third parties in order to process your application. We the Auto Dealer, may obtain information about you as described in this notice, which we handle as stated in our website privacy policy notice. If we are required to provide you our official company privacy policy, it will be given to you in person, by mail or if you consent to receive it electronically, by e-mail. This does not apply to information obtained in a non-financial transaction. All applicants must satisfy all lender criteria in order to obtain credit. Not all applicants, including pre-approved applicants, will qualify for a loan.By completing and submitting your request, you consent to having all legally required disclosures, notices, privacy policies and information (“Disclosures”) provided or made available to you in electronic form and to doing business with us electronically. We collect nonpublic personal information about you from the following sources: information we receive from you on applications or other forms in connection with a financial transaction, Information about your transactions with us, our affiliates, or others, and information we receive from a consumer reporting agency. We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Consent to Terms & Privacy Policy Our company takes your privacy seriously and is committed to safeguarding your privacy online. By clicking “Submit Application”, you accept the Terms, Conditions and Disclosures above and have read and accept the Terms & Condition listed on our Terms and Condition page. By agreeing to the terms and conditions you agree to allow FAL solicit by phone, text message, e-mail, mail, and must manually opt-out.

Delivery Authorization I hereby authorize Florida Auto Lease (“FAL”) and/or their directors, officers, employees, volunteers, representatives, vendors, and agents to pick up and deliver agreed upon vehicle to/from dealership to/from agreed upon location of delivery and assume all of the risk of having my vehicle delivered to the destination I selected. In consideration of the additional delivery fee that the company waived, in exchange for this release, and service provided, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: I waive, release, and discharge from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released and indemnify, hold harmless, and promise not to sue Florida Auto Lease Inc (“FAL”) and/or their directors, officers, employees, volunteers, representatives, vendors, and agents, for any and all claims that relate to or arise out of delivering my vehicle from its current location to the destination of my choosing.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

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