Online Credit Application

For your security, Juettner Motors does not ask for your SSN in our online application, and we do not store that information in an online database. This is to prevent potentially serious data leakage to third parties. If we do require your SSN to complete the credit inquiry, one of our professional credit staff will contact you via phone.

Personal Information
1. Name
2. Address
3. City
4. State
5. Zip
6. Phone
7. Email
8. Date of Birth
Employment Information
1. Current Employer
2. Company Name
3. Company Phone
4. Company Address
5. Time in Position
6. Position Held
7. Salary
  Salary Type
  1. Hourly
  2. Monthly
8. Previous Employer
9. Company Name
10. Company Phone
11. Company Address
12. Time in Position
13. Position Held
14. Salary
  Salary Type
  1. Hourly
  2. Monthly
Bank Information
1. Name of Bank
2. Branch
3. Have you ever filed for bankruptcy before?
  1. Yes
  2. No
4. Have you ever defaulted in payment on credit before?
  1. Yes
  2. No
5. If yes to either or both of the above questions, please explain
By checking this box, and submitting this application, you certify that all of the information provided in this application is true and provided for the purpose of obtaining credit, and authorize us and our authorized agents to share all information obtained in connection with your application with our Finance Partners for the purpose of processing your application, and to access your credit report in order to evaluate your credit application.