Grand Chute Auto Sales

"We Understand How Life Works"

Welcome to Grand Chute Auto's Online Credit Application!

                Please take a couple of minutes to fill out and submit the application below. Once pre-qualified, you will be contacted by Grand Chute Auto to complete the application process.

Income from medical insurance payments, disability income or wage continutation payments need not be revealed if applicant does not chose to have it considered as a basis for repayment of this obligation.

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Privacy Statement

(fields with the * symbol are required)

1. Automobile lnformation
Vehicle Applying For
(Year, Make, Model, if known):
Stock Identification (if known):
2. Personal Information
First Name:*
Middle Initial*:
Last Name:*
Address (number and street only):*
City:*
State: WI (credit is extended to WI residents only)
Home Zip Code:*
Phone Number:*
( ) -
Email Address:*
Date of Birth:* Month:  Day:  Year:
Social Security Number:* - -
Number of Dependents Under 18:*
Employer:*
Time at Current Job:*
Monthly Take Home Income (net):*
Monthly Gross Income:
Additional Income (net):


NOTICE TO MARRIED APPLICANTS:
No provision of any marital property agreement, unilateral statement under s.766.59, Wisconsin Statutes or court decree under s.766.70 Wisconsin Statutes, adversely affects the interest of the creditor, unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred. Separate and joint credit may be considered marital purpose debt under Wisconsin law.

3. Co-Buyer/Spouse Information (if applicable, ** indicates required fields)
Co-Buyer/Spouse First Name:**
Co-Buyer/Spouse Middle Initial**:
Co-Buyer/Spouse Last Name:**
Co-Buyer/Spouse Date of Birth:** Month:   Day:   Year:
Co-Buyer/Spouse Social Security Num:** - -
Co-Buyer/Spouse Employer:**
Co-Buyer/Spouse Time at Current Job:**
Co-Buyer/Spouse Monthly Take Home Income (net):**
Co-Buyer/Spouse Monthly Gross Income:
Co-Buyer/Spouse Additional Income (net):
4. Please answer the following questions. A 'yes' answer will not necessarily lead to denial of credit.
Are you in the process of filing for, or have a bankruptcy not yet discharged?*
Do all applicants have a valid Wisconsin driver’s license?*
Marital Status:*
Applying For:*
5. Residence Information
Type of Residence:*
Time at Current Address:*
Monthly Mortgage or Rent Payment:*
6. Monthly Financial Obligations
To help us serve you better and faster, please provide the following information
Utility (Heat, Electric, Water, Cable TV, Internet): $
Phone (home and cell): $
Furniture, Appliance, or Computer Rentals: $
Credit Card Payments: $
Other Loan Payments: $
Child Support Payments: $
Is child support already deducted from your payroll/monthly take-home income? (if applicable):
7. Trade-In Information
Trade-In (Year, make, model):
8. Other Information
Additional information that may be helpful in our review process (250 characters max):



For the purpose of obtaining the credit described within, and any future credit granted to the applicant by the creditor, the applicant, jointly and severally, represents that the enclosed statements are true and complete, authorize the creditor, or its agents, to verify them and obtain additional information concerning your credit standing and furnish the same to others, to answer any questions about your credit experience and other financial relationships with the creditor and agree to the provision of any rules, regulations or agreements of the creditor governing such credit. You and/or your family members who are signing this agreement are granting us and our business affiliates express written consent to call you on all phone numbers provided to us, including your cell phone, and to send you text and e-mail statements and reminders as it relates to the services we are providing to you. Your phone numbers will not be sold or released to any other entity.


Due to residency restrictions, not all applicants will qualify for offers. Approval is subject to verification of personal and financial information and down payment requirements. Some approvals require qualified credit. Offer may be limited. I have reviewed Grand Chute Auto Sales Policy Statement.

I am agreeing to an electronic response by email to my application for credit, including receiving legal disclosures via email instead of paper copies.






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