Leasing/ Financing Application

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1 Basic Information
2 Current Residence
3 Past Residence
4 Employment
5 Co-Applicant/spouse
6 Banking & Credit
7 Confirm
Lease / Credit Application

If you're interested in one of our vehicles and you need financing, we may be able to help! With TRUE in-house financing, we are sure to have aplan that fits your budget. Fill out our application below to get started,and see what we can do for you.

FYI - Our financing program requires a minimum down paymentof $1000.00 for qualifying applicants. Approval is dependant onconsistent employment history & verifiable residence history. In somecases, we may require a higher down payment for approval.

Basic Information
Vehicle You are Interested In
Nameyour full name
Date of Birth
Phone
Driver's License #
Driver's License State of Issue (If not KS)
Is your license currently valid?Choose one
Current Address
Bldg/ Apt #
City
State
Zip
Move in Date
Monthly Rent
Landlord
Phone NumberFor Landlord
Are you on the Lease?
Previous Address
Bldg/ Apt #
City
State
Zip
Move in Date
Move Out Date
Monthly Rent
Were you on the Lease?pick one!
Were You Evicted?pick one!
Previous Landlord
Phone NumberFor Previous Landlord
Employment Information
Current Employer
Address
Position Title
Date of HireIf less than 2 years ago, provide previous employer info below
Salary/Hourly Rate
Full Name of Supervisor
Phone (No Personal Numbers)
Full Time, Part Time or Temp?
*Previous* Employer
Previous Employer Address
Position Title
Full Name of Supervisor
Phone Number for Previous Supervisor or HR DeptNo Personal Numbers
Date of Hire
Date Previous Employment Ended
How did employment end?
Will There Be a Co-Applicant Or Spouse?pick one!
Co-Applicant +/or Spouse
Name
Phone
Driver's License #
Date of Birth
What is your relationship to applicant?
Driver's License Number
Is Co-Applicant's License Valid?
Present Address(if different from Primary Applicant)
Bldg/ Apt #
City
State
Zip
Move in Date
Is Co-Applicant on the Lease/ Mortgage?pick one!
Monthly Rent
Landlord
Previous Address
Bldg/ Apt #
City
State
Zip
Move in Date
Move Out Date
Monthly Rent
Were you on the Lease?pick one!
Were You Evicted?pick one!
Previous Landlord
Phone NumberFor Previous Landlord
Co-Applicant Employment Information
Current Employer
Position Title
Address
Date of Hire
Full Name of Supervisor
Salary/Hourly Rate
Phone
Full Time, Part Time or Temp?
Banking Information
Do you have a Checking or Savings Account?
Bank NameIf yes, at what bank?
Phone
Credit References
Credit Reference 1Ex. Any past or current loans, or lines of credit in your name. Rent-to-Own accounts, utilities, etc.
Account Number
Type of Credit?
Phone
Credit Reference 2
Account Number
Type of Credit?
Phone
Credit Reference 3
Account Number
Type of Credit?
Phone
Personal References
Name
Address
Phone
Relationship
Name
Address
Phone
Relationship
Name
Address
Phone
Relationship
Did one of our customers refer you? If so, who?We like to give credit, where credit's due 🙂
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Questions/CommentsFeel free to use this field to include any additional information that may help in the processing of your application
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I/We authorize Wheeler’s to investigate my/our residence history, employment history, and credit qualifications, and hereby release, in any manner all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/ We Agree
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