Apply For Financing

Are you ready to buy a Wheelers van? Fill out the form below to apply for financing. Questions? Give us a call at 623-562-3515 or 800-456-1371. We will be happy to assist with any questions or concerns you may have.

Personal Information
Name*
First Middle Last
Email*
Primary Phone*
Secondary Phone
SSN*
Date of Birth*
MM slash DD slash YYYY
Do you have a Co-Application*
- Yes
- No
Co-Applicant Information
Name*
First Middle Last
Email*
Primary Phone*
Secondary Phone
Date of Birth*
MM slash DD slash YYYY
Residence Information
Address*
Street Address Address Line 2 City State ZIP Code
Time at Current Residence (Years & Months)*
Residence Type*
Current Monthly Rent/Mortgage Payment*
Employment Information
Position*
Employer Name*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Employer Phone*
Time at Current Employer (Years & Months)*
Gross Monthly Income*
Other Income Description
Other Monthly Income
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Privacy Notice*
I have been provided a copy of the following Privacy Notice prior to submitting my credit application
By clicking "Accept / Submit", you submit and certify that all of the statements in this application are true and made for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward or allow direct electronic access to your application to lenders in order to process your application.
The application may be submitted to the following lenders:
Ally Financial Inc
PO Box 674
Minneapolis MN 55440

Bank of America
PO Box 2759
Jacksonville, FL 32203

CapitalOne
PO Box 660068
Sacramento, CA 95866

JP Morgan Chase
PO Box 901098
Fort Worth, TX 76101

Exeter Finance
PO Box 166008
Irving TX 75016

Santander Consumer USA
PO Box 916288
Fort Worth TX 76161

Westlake Financial Service LLC
PO Box 997592
Sacramento CA 95899

Wells Fargo Auto
PO Box 997517
Sacramento CA 95899

AmeriCredit Financial Services
PO Box 1510
Cockeysville MD 21030

TD Auto Finance LLC
PO Box 675
Wilmington OH 45177-0675

American Credit Acceptance LLC
PO Box 4419
Wilmington OH 45177-4419

U.S. Bank N.A.
PO Box 3427
Oshkosh WI 54903
Accept Terms*
By clicking this box, I, the Primary Applicant identified above, agree that this credit application is an electronic credit application submitted using electronic means and such means signifies my intent to submit this credit application to Access Mobility of Arizona dba Wheelers Accessible Van Rentals to the same extent as if I had executed the credit application using my written signature.
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Apply For Financing

Personal Information

Co-Applicant Information

Residence Information

Employment Information

Wheelers Corporate Office

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