Online Credit Application

Sales Information

Business Information

Applicant Information

Credit Information

Nearest Relative Not Living With Customer:

Employment Information

Employer 1

Employer 2

Trade References

Trade Reference 1
Trade Reference 2
Trade Reference 3

Important Notice

For purchases over $25,000 we will require the submittal of, 1) last year's tax returns and/or 2) current year's statement. Please feel free to fax this information to our secure fax line 515-271-8402
I understand that Wittern Financial Services is relying on this information in extending credit and I authorize Wittern Financial Services or any bank and/or trade bureau or other investigative agency to investigate the references herein listed or other data obtained from me or any other person claiming financial responsibility. The undersigned authorizes all parties contacted to release credit information.
Please indicate your consent to the above terms by clicking on the Submit button below. If you have additional questions, please contact the finance company directly at 1-800-236-2929.
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