Credit Application

(A) Applicant Information
PRINT FULL NAME
DOB SSN # OF DEPENDENTS
STREET ADDRESS
CITY STATE ZIP CODE
HOW LONG? HOME PHONE CELL PHONE
RESIDENTIAL STATUS MONTHLY RENT/MORTGAGE PMT
LANDLORD OR MORTGAGE HOLDER'S NAME
PREVIOUS ADDRESS(if less than 2 years in current address)
CURRENT EMPLOYER'S NAME
CURRENT EMPLOYER'S ADDRESS
GROSS MONTHLY SALARY WORK PHONE
OCCUPATIONAL/JOB TITLE HOW LONG?
PREVIOUS EMPLOYER (if less than 2 years in current job)
(B) Joint Applicant Information
PRINT FULL NAME
DOB SSN # OF DEPENDENTS
STREET ADDRESS
CITY STATE ZIP CODE
HOW LONG? HOME PHONE CELL PHONE
RESIDENTIAL STATUS MONTHLY RENT/MORTGAGE PMT
LANDLORD OR MORTGAGE HOLDER'S NAME
PREVIOUS ADDRESS(if less than 2 years in current address)
CURRENT EMPLOYER'S NAME
CURRENT EMPLOYER'S ADDRESS
GROSS MONTHLY SALARY WORK PHONE
OCCUPATIONAL/JOB TITLE HOW LONG?
PREVIOUS EMPLOYER (if less than 2 years in current job)
OTHER INCOME NOTE: Alimony, child support or separate maintenance incomes do not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment of the requested credit amount.
GROSS MONTHLY OTHER INCOME OTHER INCOME SOURCE
REFERENCE 1 PHONE
REFERENCE_2 PHONE
GROSS MONTHLY OTHER INCOME OTHER INCOME SOURCE
ADDRESS RELATIONSHIP
ADDRESS RELATIONSHIP
FAIR CREDIT REPORTING ACT TO CONSUMER
 
THIS WILL ADVICE YOU THAT YOUR RETAIL INSTALLMENT SALES CONTRACT AND BUYER'S APPLICATION FOR SECURED DEBT WILL BE SUBMITTED TO FINANCIAL INSTITUTIONS AND THEIR AFFILIATES FOR PURCHASE AND CONSIDERATION AS TO WHETHER YOU MEET THEIR CREDIT REQUIREMENTS
 
THE UNDERSIGNED FURTHER AUTHORIZES THESE FINANCIAL INSTITUTIONS AND THEIR AFFILIATES TO OBTAIN SUCH INFORMATION THAT THEY MAY REQUIRE IN ORDER TO VERIFY INFORMATION RELATIVE TO THIS REQUEST INCLUDING CONTACTING SPOUSES TO VERIFY SPOUSE RELATED INFORMATION
 
I CERTIFY THAT ALL INFORMATION GIVEN BY ME ON THIS APPLICATION IS COMPLETE AND ACCURATE. I GIVE MY PERMISSION FOR ANY FINANCIAL INSTITUTION WHICH WILL REVIEW THIS CREDIT APPLICATION, TO INVESTIGATE MY CREDIT AND EMPLOYMENT HISTORY, AND ANSWER QUESTIONS ABOUT  THEIR CREDIT EXPERIENCE WITH ME INCLUDING BUT NOT LIMITED  TO LATE PAYMENTS, MISSED PAYMENTS OR OTHER DEFAULTS, AND THIS INFORMATION MAY BY REPORTED IN YOUR CREDIT REPORT.
 
APPLICANT SIGNATURE REQUIRED
DATE
(A) APPLICANT Driver's License No.
JOINT APPLICANT SIGNATURE REQUIRED (means you intended to apply for joint credit)
DATE
(B) JOINT APPLICANT Driver's License No.
VEHICLE INTERESTED
 
YEAR
MODEL
BODY STYLE
MILEAGE
FOR DEALER USE ONLY
 
NEW
USED
DEMO
YEAR
MAKE
BOOK VALUE
MODEL
BODY STYLE
MILEAGE
TRADE IN YEAR
MAKE
MODEL
LEINHOLDER
TERM
RATE
AMOUNT
DEALER (UNDERWRITER)
CASH SELLING PRICE
NET TRADE
CASH DOWN
UNPAID BALANCE
PLUS INSURANCE & FEES
TOTAL AMOUNT FINANCED

Griesel Motors has partnered with a Kansas based Credit Union and is able to Finance with approved credit. We are not a buy-here pay-her dealership.  We do work closely with customer’s banks to provide vin numbers and purchase contracts to help your loan approval process.