Gowanda Harley-Davidson Credit Application

GOWANDA HARLEY-DAVIDSON

CREDIT APPLICATION

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TELL US WHAT YOU ARE LOOKING FOR

Are you working with a Gowanda Harley-Davidson Representative?

Representative's Name

No, please have a Representative contact me.

Do you have a purchase picked out?

UNIT Make/Model/Year

VIN#

Do you have a Bill of Sale?

Click or drag & drop file here to upload

If you are just looking, what are you interested in?

HOW MUCH DO YOU NEED TO FINANCE

Purchase Amount ($)

Trade-In Amount ($) (if applicable)

Balance Owed on Trade ($)

Down Payment ($)

TOTAL AMOUNT REQUESTED ($)

Term Requested:

Or, are you looking for a payment amount ($)?

Payment Amount ($)

APPLICANT

First Name *

Last Name *

Social Security # *

Date of Birth *

Drivers License #

Driver's License

Driver's License Attachment

Click or drag & drop file here to upload

Address *

City *

ZIP Code *

Phone *

Email

Employer *

Years at Employer *

Job Title *

If less than 2 years, name of previous employer

Gross Annual Income ($) *

Other Income ($)

Proof of Income

Paystub or Proof of Income Attachment

Click or drag & drop file here to upload

Amount of Rent or Mortgage ($)

CO-APPLICANT

If there is no co-applicant, press Continue at bottom of page.

First Name

Last Name

Social Security #

Date of Birth

Drivers License #

Driver's License

Driver's License Attachment

Click or drag & drop file here to upload

Address

City

ZIP Code

Phone

Email

Employer

Years at Employer

Job Title

If less than 2 years, name of previous employer

Gross Annual Income ($)

Proof of Income

Paystub or Proof of Income Attachment

Click or drag & drop file here to upload

Other Income ($)

Amount of Rent or Mortgage ($)

ADDITIONAL COMMENTS

Include any information that you feel may help us process your application:

By submitting this form, I certify that the information is correct. I understand I am giving permission for Western Division FCU to review my/our credit and employment history and contact me/us regarding approval of this application.

Thank you for your application. We will be in touch shortly to discuss the approval of your loan.

Requests are processed during normal business hours Monday - Friday (excluding holidays).