Service Toothman Ford - Grafton, West Virginia

SPECIAL FINANCING DEPARTMENT

We offer SPECIAL financing that's truly special!

In our highly mobile society, everyone needs transportation. That said, many people have trouble securing financing to buy a car because of marginal or bad credit. However, the Toothman Ford Sales Inc. special financing department can help almost any auto buyer secure financing. We do our very best to find the funds to get you behind the wheel of an automobile in no time at all - at a price that will put a smile on your face.

Toothman Ford Sales Inc. SPECIAL FINANCING Online Application

Applicant E-Mail
Important: Enter a valid e-mail address. Correspondence will be sent to this address.
*E-Mail:
Applicant Information
*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:		Apt. or Suite No.
*City:
*State:
*Zip Code:
*Home Phone:
*Work Phone:
Cell Phone:
Years at Current Address:
*Date of Birth:
*Social Security Number
What is your marital status?	Single Married Divorced Widowed
Financial Information (Applicant)
Mortgagee/Landlord Name:
Mortgagee/Landlord Phone:
*Current Mortgage/Rent:		Numerals only.
*Current Occupation:
*Current Employer or Business Name:
Business City/State:
Type of Business:
Position Held:
*Supervisor Name & Title:
*Supervisor Phone:
*Years at current job:		Date only
*Monthly Income:		Numerals only.
Previous Employer or Business Name: (if less than 2 years on current job)
Business City/State:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Years Employed:		Numerals only.
Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income Source:
Monthly Income:		Numerals only.

Co-Applicant Information
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:		Apt. or Suite No.
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Years at Current Address:
Date of Birth:
Social Security Number
What is your marital status?	Single Married Divorced Widowed
Financial Information (Co-Applicant)
Mortgagee/Landlord Name:
Mortgagee/Landlord Phone:
Current Mortgage/Rent:		Numerals only.
Current Mortgage Balance:		Required if mortgage.
Current Occupation:
Current Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Start Date:		Date only
Monthly Income:		Numerals only.
Previous Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Years Employed:		Numerals only.
Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income Source:
Monthly Income:		Numerals only.
How did you hear about Toothman Ford: *Radio, Television, Newspaper, Auto Magazine, Other* I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT,
AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT
AND REVIEW OF MY EMPLOYMENT HISTORY.
I understand any false or misleading statements in my application may cause
any loan to be in default. I agree that this application shall be this
Institution's property whether or not this credit application is approved.
*Dated:		Date only
By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.
*Signature:		Enter first & last name