Please take a few minutes to fill out this online credit form. Please fill in all the information you can. When you have finished, click the SUBMIT button at the bottom of the page.
(209) 464-3649 for assistance.
Type of Application
note: * starred ( * ) items only needed for joint application.
Applicant Name
Co-Applicant Name*
Social Security # (applicant)
Social Sec. # (co-applicant)*
Address of Applicant:
Street Address (Apt. or Unit #)
Address Line 2 (optional)
City
State and ZIP code
Address of Co-Applicant* (ONLY necessary if different from Applicant)
Street Address (Apt. or Unit #):
Address Line 2 (optional):
City:
State and ZIP code:
Date of Birth
Date of Birth*
Month/Day/Year
Time at Current Address:
Years
Months
Phone #
Phone # *
Previous Address:
Time at Current Address:
Years
Months
Current Employment Information
Applicant.
Co-Applicant*
Occupation:
Employer:
Employer
Address:
No. of Years with Employer:
Employer Phone#:
Residence Information
Applicant
Co-Applicant*
Rent/Mortgage Payment:
$
/month
$
/month
Current Vehicle Payment:
$
/month
IMPORTANT Terms and Conditions!!!
By checking the agree box and clicking the submit button below, you agree to our terms and authorize a credit check to be performed by us and our lending partners in order to evaluate the financing options that can be provided to you.
By checking the agree box and by submitting your application, you certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit. You authorize West Lane Auto Center to share your application and related information with its lending partners in order to complete the processing of this application. You authorize West Lane Auto Center and its lending partners to retain and rely on your application and to access your credit report in order to evaluate your credit application. In addition, you acknowledge that you have read the stated terms and conditions related to your application and agree to send us your information electronically. You further authorize West Lane Auto Center.
By checking the agree box and by using this site and providing us with your information, you agree to the West Lane Auto Center Electronic application Policy. If you do not agree to this policy, please do not use our site. We reserve the right, at our discretion, to change, modify, add, or remove portions of this policy at any time. Please check this page frequently for changes. Your use of the West Lane Auto Center site and its online credit application means you accept those changes. You can e-mail us with any further questions you may have.
I Agree (applicant):
I Agree* (Co-applicant):
When you are finished, please click to submit your application!
(use your back button to return to our site after submitting)
Income Information
Gross Monthly Income from your Employer:
(before taxes and deductions)
Gross Monthly Income from Employer:
(before taxes and deducitions)
$
/month
/month
$
Other Income:
Source of Other Income:
Other Income:
Source:
$
/month
$
/month
Intended Down Payment For Your Vehicle$
Street Address:
City:
State and ZIP code:
Previous address (co-applicant)*:
Street and Apt.#:
City:
State and ZIP code:
Occupation:
Employer:
Employer Address:
Employer Phone#:
No. of Years with Employer:
Do you rent or own your residence?
Do you rent or own your residence?
Rent/Mortgage Payment:
Current Vehicle Payment:
Applicant
Co-Applicant*
Your Comments (optional):
Previous Employer:
Address:
Phone Number:
Occupation :
Previous Employer:
Address:
Phone Number:
Occupation:
$
/month
Driver's License #
Please read the terms and conditions below and then electronically "sign" the application by checking the "Check to Agree" box(es) below. Then we will be able to process your application.
