Wilhelm Chevrolet Buick Pontiac GMC Cadillac
Call (701) 252-2950 or 1-800-450-2950

Request Financing

Thank you for taking the time to send us this form. We take pride when a happy customer drives off in their new vehicle, please don't let credit issues stop you from applying. We work with many different lenders and are confident we can help you get approved.  If you have any questions at all regarding financing, please call me at (877) 826-0689 and ask for Steve Jaskovick or submit this secure form. I look forward to speaking with you soon.


Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Vehicle Information

Year: Miles:
Make: VIN:
Model:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Additional Information

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I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Wilhelm Chevrolet Buick Pontiac GMC Cadillac
305 Business Loop West
Jamestown, ND 58401
P: (877) 826-0689
Email: Contact Us
Fax: (701) 252-8094
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