Splash Financing
We pride ourselves on our ability to quickly and easily provide financing solutions for our customers.  We are experts in helping credit-challenged individuals obtain affordable financing for their new vehicles.
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Application Information

Application Information
If you are applying with a joint application, please have the cosigner complete the form after the primary applicant has hit Submit.  

Identification

Identification
First Name:  
Middle Initial  
Last Name:  
Date of Birth: Month  
Date of Birth: Day  
Date of Birth: Year  
Social Security Number:  

Contact Information

Contact Information
(Area Code) Daytime Phone:  
(Area Code) Cell Phone:  
EMail:  

Address Information

Address Information
Address:   City:  
State:   Zip:  
How long at your current residence? Years   Months  
Mthly rent/mtg:  

Employment History

Employment History
Current Employer:  
Job Length? Years   Gross Monthly Income (before taxes):  

Credit Report Authorization

Credit Report Authorization
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.  
Credit Check:  
(Initial here) *required  
  • Approval based on lender criteria, Not all customers will qualify.

Read our privacy notice - which discloses the privacy practices for West Brothers Splash. This privacy notice applies solely to information collected by this web site.

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