Online Credit Application

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About You

First Name
Last Name
Street Address
City
State
Zip Code
Work Phone #

If you are retired, a homemaker
or unemployed enter your home phone here.

Cell/Other Phone #

Not required but is best way to reach you.

Home Phone #
Email Address
Date of Birth
Social Security #
Rent or Own Home
Rent/Mortgage payment
Time at this address Years: Months:

Employment Information

Job Status
Employer
Job Function
Time at Job Years: Months:
Annual Income* $
*Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repayment.

Loan Information

Purchase or Lease
Down Payment
Approximate Amount Requested
Do You Have a Trade?
If Yes, Describe Trade
How Soon Would You Like to take Delivery?
Do You Already Have a salesperson at West-Herr?
If you have a salesperson. What is their name?
Notes about your credit or additional information

Special Notice

I/we certify that the information provided on this application is in the best of my/our knowledge, complete and accurate. I authorize the dealer to provide the information on my credit application to any dealership affiliated with the West Herr Automotive Group of Companies ("a West Herr Dealership") for the limited purpose of attempting to obtain credit approval for the purchase of a new or used vehicle from a West Herr Dealership By placing my initials next to the "I have read the Special Credit Notice"

I/we hereby authorize West Herr to request a consumer report in connection with this application for credit or any future update, renewal or extension of credit. upon request, you will be informed whether or not a consumer report was requested. If a report was requested, you will be informed of the name and address of the consumer agency that furnished the report.

Falsification of your identification is fraud and will be prosecuted to the fullest extent of the law.

Last Steps

By Entering my initials here I certify that I have read the Special Credit Notice and understand my rights:
Drivers License Number

IMPORTANT NOTE: You will need to bring in this drivers License as proof of identity on delivery of your vehicle.

About You

First Name
Last Name
Company
Street Address
City
State
Zip Code
Work Phone #
Cell/Other Phone #

Not required but is best way to reach you.

Email Address
Tax ID
Years in Buisness
Type of Company
Company's monthly income

Loan Information

Purchase or Lease
Down Payment
Approximate Amount Requested
Do You Have a Trade?
If Yes, Describe Trade
How Soon Would You Like to take Delivery?
Do You Already Have a salesperson at West-Herr?
If you have a salesperson. What is their name?
Notes about your credit or additional information

Special Notice

I/we certify that the information provided on this application is in the best of my/our knowledge, complete and accurate. I authorize the dealer to provide the information on my credit application to any dealership affiliated with the West Herr Automotive Group of Companies ("a West Herr Dealership") for the limited purpose of attempting to obtain credit approval for the purchase of a new or used vehicle from a West Herr Dealership By placing my initials next to the "I have read the Special Credit Notice"

I/we hereby authorize West Herr to request a consumer report in connection with this application for credit or any future update, renewal or extension of credit. upon request, you will be informed whether or not a consumer report was requested. If a report was requested, you will be informed of the name and address of the consumer agency that furnished the report.

Falsification of your identification is fraud and will be prosecuted to the fullest extent of the law.

Last Steps

By Entering my initials here I certify that I have read the Special Credit Notice and understand my rights:
Drivers License Number

IMPORTANT NOTE: You will need to bring in this drivers License as proof of identity on delivery of your vehicle.