Call: 414-327-2100
Email: info@seligleasing.com

PERSONAL CREDIT APPLICATION

Selig Leasing provides an online personal credit application for your convenience. You may apply by mail, email, fax or web.

Use this application for personal auto & truck leasing. Businesses and commercial and industrial leasees should use the Equipment Lease Credit Application.

TO APPLY BY MAIL:

  1. Print form from this PDF document:
    Credit Application (.pdf)
  2. Fill in all requested information.
  3. Mail completed application form to:
      Selig Leasing Company Inc
      2510 S 108th St
      West Allis, WI 53227

      

TO APPLY BY FAX:

  1. Print form from this PDF document:
    Credit Application (.pdf)
  2. Fill in all requested information.
  3. FAX completed application form to:
      414-327-0154.

TO APPLY BY WEB:

  1. Complete all required fields in form, below.
  2. Click Submit button.

TO APPLY BY EMAIL:

  1. Save this Word document:
    Credit Application (.doc)
  2. Fill in all requested information.
  3. Attach completed application to email and send to:

 
INDIVIDUAL APPLICATION   JOINT APPLICATION

APPLICANT INFORMATION
  First Name *
 		 M.I.
 		 Last Name *
 		 Suffix
  Social Security # *
      Date of Birth: *
    
  Drivers License #*
      Drivers License State*
  Address*
  City *
 		 State *
 		 Zip Code *  
 Home Phone # *
  Time at Address *
 yrs.   mos. 		 Housing Status *
 		   Mtg Pymt or Rent *
$
  Previous Address if less than 2 yrs 
  Previous City 
 		 State
 		 Zip Code
 		 Time at Address
 yrs.   mos.

APPLICANT EMPLOYMENT INFORMATION
  Employed By *
 		 Time Employed *
 yrs.     mos. 		 Business Phone #
  Employer Address *
  		City *
  		State *
 		 Zip Code *
  Occupation
 		   Monthly Income (Gross) *
$
  Previous employer if less than 2 yrs 
 		 Time Employed
 yrs.     mos. 		 Position Held
  Previous Employer Address 
  		City
  		State
 		 Zip Code

FINANCIAL INFORMATION
  Alimony, child support, separate maintenance income or its source need not be disclosed unless Applicant wants the creditor to consider it in connection with application.
  Type of Other Income
 		 Source
 		   Monthly Amount 
$
  Bank Name *
 		 Chkg Acct* 
   Balance
$  		 Svgs Acct *
   Balance
$
  Bank Address *
  		City *
  		State *
  		Zip Code *

CREDIT REFERENCES (include all loans, major credit cards & other personal credit)
  Creditor Name *
 		 Address *
 		   Loan Amt *
$ 		   Mo Pymt *
$ 		   Balance *
$
  Creditor Name *
 		 Address *
 		   Loan Amt *
$ 		   Mo Pymt *
$ 		   Balance *
$
  Creditor Name  
 		 Address  
 		   Loan Amt  
$ 		   Mo Pymt  
$ 		   Balance  
$
  Creditor Name   
 		 Address  
 		   Loan Amt  
$ 		   Mo Pymt  
$ 		   Balance  
$
  Last Vehicle Purchased *
(Make, Model, Year)
 		  
Financed by *
 		  
Address *
 		 Mo Pymt or *
Date Closed
 

NAME & ADDRESS OF NEAREST RELATIVE OR PERSONAL REFERENCE (not living with you)
  Name *
 		 Address *
 		 Relationship *
 		 Yrs Known *
  Name * 
 		 Address *
 		 Relationship *
 		 Yrs Known *

SIGNATURE AFFIRMATION
 
  Have you ever had any *
property repossessed? 		                     Do you have any suits *
pending against you? 
   
Have you filed bankruptcy in the last 10 years? *         
  Address where vehicle will be garaged     
(if other than home address}
 
 
  Check box to    
authorize *
  		 By clicking Submit, I (we) the Applicant(s) certify that the above information is complete and accurate. Selig Executive Leasing Company is authorized to investigate my (our) credit and employment history and release information about its credit experience with me (us).
 		      Today's Date
  
   

APPLY BY FAX :

1.  Print credit application
2.  Fill out form
3.  Fax to  414-327-0154

APPLY BY EMAIL :

1.  Save credit application
2.  Fill out form
3.  Email info@seligleasing.com

APPLY BY WEB :

1.  Fill out form at left
2.  Click SUBMIT button