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Wilson Ford Lincoln Mercury
Online Credit Application

I / WE AGREE that by submitting this form you and the co-applicant authorize Wilson Ford, Inc. to copy the information to a standard credit application and submit that application to any of the lending institutions that they use for the purpose of obtaining a loan to purchase a vehicle from Wilson Ford, Inc. I understand that I am authorizing any of these institutions to use whatever means necessary to verify the correctness of the statements made on this application and to procure any other information which they may require to appraise the application. If credit is not approved I (we) authorize them to retain the application as their property. If you "SUBMIT" this application it will be sent to a private encrypted email account to the best of our knowledge the information on this form will not be available to anyone who intercepts this email. If you would prefer that we take the information over the phone "SUBMIT" this application with just your name, phone number and a convenient time to call in the remarks section or CALL us at 304-363-0500 or you can print this page, complete the application and FAX it to us at 304-366-9020 attention the Finance and Insurance Department..


Vehicle Information

Enter the Stock # of the vehicle you are interested in: or
the type of vehicle you are interested in: and
the approximate selling price of the vehicle you are interested in:  
What is the amount of cash down payment you will have available?  

Trade-In Information

    
Your Vehicle: Year Make Model VIN
Automatic Manual 4WD AC    |    Odometer Reading

Lienholder and Phone Number or City and State:  
Acct. Number: Payoff amount: Monthly Payment:
Do you give Wilson Ford, Inc. permission to get a payoff from your Lien Holder?

Primary Applicant
  Name
  Physical Address
  City, State, Zip Code
  Mailing Address (if different from above)
  Buying / Own / Rent or Other?       How Long?       Payment / Rent?      
  Previous address if less than 2 years at current address
Residence Phone    (  )  -      Cell Phone    (  )    
Soc. Sec. #  -  -      Date of Birth      /  / 

Employment
Employer        Employer Phone    (  )  - 
Employer Address    
City, State, Zip Code    
Years There?         Position?         Gross Monthly Income    

If less than 2 years with current employer
Previous Employer        Employer Phone    (  )  - 
Employer Address    
City, State, Zip Code    
Years There?         Position?         Gross Monthly Income    
Other Monthly Income        Source?    

Co-applicant please fill out the following:
Relationship to primary        Name:    
Soc. Sec. #  -  -      Date of Birth      /  / 

If your address is different from the primary applicant's address, complete the following. Otherwise go to Co-applicant Employment
  Physical Address
  City, State, Zip Code
  Mailing Address (if different from above)
  Buying / Own / Rent or Other?       How Long?       Payment / Rent?      
  Previous address if less than 2 years at current address
  Residence Phone    (  )  -      Cell Phone    (  )  - 

Co-applicant Employment
Employer        Employer Phone    (  )  - 
Employer Address    
City, State, Zip Code    
Years There?         Position?         Gross Monthly Income    

If less than 2 years with current employer
Previous Employer        Employer Phone    (  )  - 
Employer Address    
City, State, Zip Code    
Years There?         Position?         Gross Monthly Income    
Other Monthly Income        Source?    
 
If you would like to be contacted by phone:    (  )  - 
 
              
 
 
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