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Van Horn Hyundai Sheboygan

3512 Wilgus Ave. P.O. Box 1144
Sheboygan, WI 53082-1144
Phone: 877-347-6330
Fax: 920-458-8442

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Please fill out all applicable areas.

1-A My Vehicle Search

Salesperson

Todays Date *

Ideal Stock Numbers

1-B Current Vehicle Info

Year

Make

Model

Style

Exterior Color

Interior Color

Plate

Plate Expiration Date

Deal TypePurchase
Lease

Extended WarrantyYes
No

Miles

Payoff $

Lender

Payments

VIN

Purchased at our dealership?Yes
No

Serviced here?Yes
No

1-C Desired Vehicle Info

Desired Vehicle *Car
Truck
SUV
Van

Make Model Open *Yes
No

Options Needed *

Colors You Don't Like *

Cash Down *

Payment Range *

Anything Stopping You From Doing Business Today? *Yes
No

1-D Applicant Information

First Name *

Middle Initial

Last Name *

Suffix

Date of Birth (mm/dd/yyyy) *

Social Security Number *

Email

Phone Number *

Address *

City *

State *

ZIP *

Drivers License *Yes
No

Insurance Card *Yes
No

2-A Housing Information

Length of Residence

Housing Status

Mortgage/Rent Amount (Monthly)

Landlord or Mortgage Holder

Previous Address

Previous City

Previous State

Previous ZIP

Previous Length of Residence

Previous Rent or Mortgage Amount (Monthly)

2-B Employment Information

Employer

Occupation

Employer Phone

Gross Monthly Income

Time Employed

Previous Employer

Previous Occupation

Previous Employer's Phone

Previous Gross Monthly Income

Previous Time Employed

2-C References Etc.

1) Name

1) Address

1) City/State/ZIP

1) Phone Number

2) Name

2) Address

2) City/State/ZIP

2) Phone Number

3) Name

3) Address

3) City/State/ZIP

3) Phone Number

4) Name

4) Address

4) City/State/ZIP

4) Phone Number

B/K DischargeYes
No

Downpayment

Co-SignerYes
No

3-A Auto Loan Information

Duration of Loan Desired

Optimal Rate Desired

Cash Down

3-B Purchase Information

Vehicle of Interest

VIN

Simoniz/Glass CoatYes
No

Simoniz Level

Additional Comments

Desired Payment

Close Payment

3-C Insurance Carrier

Name

Policy Number

Date Range This Vehicle Is Covered

CoverageCollision
Comprehensive
Fire-Theft

4-A Dealer Trade

Vehicle Info

Transmission

FWD or 4WD (if SUV)

Model Code

Exterior/Interior Colors or Code

Package # or Name

4-B We Owe

Delivery Date

Stock Number

Serial Number

New/UsedNew
Used

Vehicle Info

Color

Miles

Cylinders

Salesman Name

Salesman Phone

We Owe Work

Is Vehicle Still Here?Yes
No

Is Appointment Set For Work?Yes
No

If Yes: Date & Time

If No: Convenient Time To Perform Work?

Appointment Contact Required by Following DepartmentsSales Department
Parts Department
Service Department
Body Department

4-C Detail Slip

Delivery Date

Delivery Time

Additional Work

Job DescriptionWash Interior and Interior Wipe Down
Vacuum Only
Windows
Car Wash, Vac, Window, Treat Tires
Truck, Van, SUV Wash, Vac Window, Treat Tires
New Car Lot Prep
Used Car Lot Prep
New Truck Van or SUV Lot Prep
Used Truck Van or SUV Lot Prep
Dealer Trades
Simoniz Fabric Only
Simoniz Complete Pkg

Signature & Privacy Statement

Signature *

Date (mm/dd/yyyy) *

* Required

Van Horn Hyundai Sheboygan · Car Sales: 877-347-6330 · Sheboygan, WI

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