Leasing/ Financing Application

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1 Basic Information
2 Current Residence
3 Past Residence
4 Employment
5 Step 5
Lease / Credit Application

If you're interested in one of our vehicles and you need financing, wemay 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 #
Address
Bldg/ Apt #
City
State
Zip
Move in Date
Move Out Date
Are you on the Leasepick one!
Monthly Rent
Landlord
Phone NumberFor Landlord
Previous Address
Bldg/ Apt #
City
State
Zip
Move in Date
Move Out Date
Monthly Rent
Were you on the Lease?pick one!
Previous Landlord
Phone NumberFor Previous Landlord
Employment Information
Employer
Address
Date of Hire
Salary/Hourly Rate
Full Name of Supervisor
Phone
Full Time, Part Time or Temp?
Will There Be a Co-Applicant Or Spouse?pick one!
Co-Applicant +/or Spouse
Name
Phone
Date of Birth
What is your relationship to applicant?
Will you be using this vehicle as well?
Driver's License Number
Present Address(if different from Primary Applicant)
Bldg/ Apt #
City
State
Zip

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 furtherrelease all persons, agencies, or firms from any liabilities resulting from providing such information.

I/ We Agree
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