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Comments About The Vehicle(s) I Am Interested In
Section A: Primary Applicant
1
Personal Information
Email Address *
First Name * MI Last Name *
Social Security Number * Number of Dependents (including self) *
Date of Birth * Home Phone * Other Phone
2
Residence
Residence Monthly Rent/Mortgage Payment *
Landlord/Mortgage Holder *
Current Street Address *
City * State * Zip *
Years at Current Address *
Previous Address if less than 2 years at current address.
Previous Street Address
City State Zip
Years at Previous Address
3
Employment
Current Employer * Employer's Phone *
Employer's Street Address *
City * State * Zip *
Time on Current Job
Your Job Title * Gross Annual Wage *
Previous Employer (or school) if less than 2 years at current employer.
Previous Employer Employer's Phone
Employer's Street Address
City State Zip
Time on Previous Job
4
Additional Income
Description Annual Amount
5
Budget
Maximum Down Payment *
Maximum Monthly Affordable Payment *
6
Miscellaneous
Bank Accounts Have Home Phone *
Checking Savings
Yes No
Have you had any of the following:
Repossession Bankruptcy Garnishment
Section B: Co-Applicant (optional)
Complete sections 1 -3 below if you are applying with a joint applicant such as a spouse or co-signer.
Co-Applicant Type *
Joint Applicant Co-Signer None
1
Personal Information
Email Address
First Name MI Last Name
Social Security Number Date of Birth
Home Phone Work Phone
2
Residence
Current Street Address
City State Zip
Years at Current Address
3
Employment
Current Employer Employer's Phone
Employer's Street Address
City State Zip
Time on Current Job
Job Title Gross Annual Wage
Authorize and Submit Application

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dACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. I understand that false statements may subject me to criminal penalties. By clicking "Submit Credit Application" I authorize Wessels Used Cars and/or its lenders to obtain my credit report and to review and verify my application information. I agree to inform Wessels Used Cars prior to funding of any changes in the information provided above.

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