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Nearly New Auto and Truck in Menasha and Green Bay, Wisconsin

Online Credit Application

Go to Nearly New Auto & Truck

Online Credit Application - Received:

Applicant
  Fields marked with * are required.
 
 First Name*  Date of Birth*
 M.I.  S.S.#* - -
 Last Name*
 
 Cell Phone:*
 Work Phone:
 Home Phone:
 Email:*
 Preferred Contact Method:*
 
Current Address
 
 Street:*
 County:*
 City:*
 State:*
 Zip:*
Mortgage Holder/Landlord::*
 Years at Residence?*
If less than 2 years previous Job or Residence?
 Own or Rent?*
 Housing Payment?*
Current Employer
 
 Name:*
 Phone:*
 
 
Years At Employer?*
Occupation*
 
 
Hourly Wage:* HRS/WK:* Or Salary:
 
 

Additional Information that may help during our review process
(maximum 250 characters)

  
 
 
 Vehicle Interested In?
 
 Trade-In Information:
 
 
*Select yes if you are married or applying with a co-borrower 
Online Credit Application
Page 2  
Co-Buyer
 
 First Name*  Date of Birth*
 M.I.  S.S.#* - -
 Last Name*
 
 Cell Phone:*
 Work Phone:
 Home Phone:
 
 Email:*  
 Preferred Contact Method:  
Current Address
 
 Street:
 County:
 City:
 State:
 Zip:
Mortgage Holder/Landlord:*
 Years at Residence?
If less than 2 years previous Job or Residence?
 Own or Rent?
 Housing Payment?
Current Employer
 
 Name:
 Phone:
 
 
Years At Employer?
Occupation
 
 
Hourly Wage: HRS/WK Or Salary:
 
 
 Additional Information that may help during
 our review process (maximum 250 characters)
  
 
 
Terms, Conditions, and Privacy Notice
The words "you", "your" and "yours" mean each person submitting this application. The words "we", "us", "our" and "ours" as used below refer to the dealer and to the Financial Institutions selected to receive your application. You authorize the dealer, as part of the credit underwriting process, to submit this application and any other application submitted in connection with the proposed transaction to the Financial Institutions disclosed to you by the dealer, for review. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such Financial Institutions may submit your applications for review to other Financial Institutions that may want to purchase your contract. You agree that we and any Financial Institutions to which your application is submitted may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction. You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information. You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction. We may keep this application and any other application submitted to us, and information about you whether or not the application is approved. You certify that the information on this application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties. FEDERAL NOTICES IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name,address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. STATE NOTICES Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin Residents: If you, the applicant, are married and live in a community property state, you may be contacted by the dealer to provide the personal credit information on your spouse in the co-applicant section. Your spouse is not required to be a co-applicant for the credit requested unless he/she wishes to be a co-applicant. California Residents: An applicant, if married, may apply for a separate account. Maine Residents: You may purchase required insurance through any insurance agent or broker and from any insurance company that is reasonably acceptable to us. You are not required to deal with any of our affiliates when choosing an agent, broker or insurer. Your choice of a particular insurance agent, broker or insurer will not affect our credit decision, so long as the insurance provides adequate coverage with an insurer who meets our reasonable requirements. Ohio Residents: Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. New Hampshire Residents: If you are applying for a balloon payment contract, you are entitled, it you ask, to receive a written estimate of the monthly payment amount for refinancing the balloon payment in accord with the creditor's existing refinance programs. You would be entitled to receive the estimate before you enter into a balloon payment contract. A balloon contract is an installment sale contract with a final scheduled payment that is at least twice the amount of one of the earlier scheduled equal periodic installment payments. New York Residents: In connection with your application for credit, we may request a consumer report that contains information on your credit worthiness, credit standing, personal characteristics and general reputation. If we grant you credit, we or our servicer may order additional consumer reports in connection with any update, renewal or extension of the credit. If you ask us, we will tell you whether we obtained a consumer report and if we did, we will tell you the name and address of the consumer reporting agency that gave us the report. Vermont Residents: By clicking on "Submit", you authorize us and our employees or agents to obtain and verify information about you (including one or more credit reports, information about your employment and banking and credit relationships) that we may deem necessary or appropriate in evaluating your application. If your application is approved and credit is extended, you also authorize us, and our employees and agents, to obtain additional credit reports and other information about you in connection with reviewing the account, increasing the available credit on the account (if applicable), taking collection on the account, or for any other legitimate purpose. Married Wisconsin Residents: Wisconsin law provides that no provision of any marital property agreement, or unilateral statement, or court order applied to marital property will adversely affect a creditor's interests unless, prior to the time that the credit is granted, the creditor is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. If you are making this application individually, and not jointly with your spouse, the dealer may contact you for the full name and current address of your spouse, which must be properly disclosed. By clicking on "Submit", I acknowledge and declare that I have read and agree with the Terms of Use. I certify that I have provided complete and true information in this application.
 
* I have read and agree to the Terms and Conditions. By clicking "Submit", I authorize you to check my credit report.

Approval Information
For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant further certifies that I have attained the age of majority. Applicant authorizes you, to check my credit and employment history and to provide and/or obtain information about credit experience with me.
Yes No