Purchase Details

1. Buyer Information

*First Name

*Middle Name

*Last Name

*Mobile Phone

*Home Phone

*Email

*Address (Mailing Address/Street Address)

*City

*State

*Postal Code

*Drivers License Number (Will Need Copies at Delivery)

*Drivers License Expiration (MM/DD/YYYY)

*Auto Insurance Company Name (Will Need Copies at Delivery)

*Policy Number

*Effective Date

*Expiration Date (MM/DD/YYYY)

Comments

2. Co-Buyer Information (If Applicable)

*Will There Be a Co-Buyer?

First Name

Middle Name

Last Name

Mobile Phone

Home Phone

Address (Mailing Address/Street Address)

City

State

Postal Code

Drivers License Number (Will Need Copies at Delivery)

Drivers License Expiration (MM/DD/YYYY)

3.Trade 1 Information (If Applicable)

Year

Make

Model

VIN #

Current Mileage

Condition

Color

Plate Number (Expiration MM/YYYY)

Is There a Payoff?

Payoff Amount

Payoff Good to (MM/DD/YYYY)

Account #

Lienholder Name

Lienholder Address

City

State

Postal Code

Phone Number

4. Trade 2 Information (If Applicable)

Year

Make

Model

VIN #

Current Mileage

Condition

Color

Plate Number (Expiration MM/YYYY)

Is There a Payoff?

Payoff Amount

Payoff Good To (MM/DD/YYYY)

Account #

Lienholder Name

Lienholder Address

City

State

Postal Code

Phone Number

5. Vehicle Payment Method

*How Will You Pay For This Vehicle

IF CASH, Please Indicate if There Will Be a Lienholder and the Lienholder's Name

IF FINANCING, Please Complete the Credit Application Below

Although every reasonable effort has been made to ensure the accuracy of the information contained on this site, absolute accuracy cannot be guaranteed. This site, and all information and materials appearing on it, are presented to the user "as is" without warranty of any kind, either express or implied. All vehicles are subject to prior sale. Price does not include applicable tax, title, and license charges. ‡Vehicles shown at different locations are not currently in our inventory (Not in Stock) but can be made available to you at our location within a reasonable date from the time of your request, not to exceed one week.

John Wiese Ford

John Wiese Ford

Purchase Details

1. Buyer Information

2. Co-Buyer Information (If Applicable)

3.Trade 1 Information (If Applicable)

4. Trade 2 Information (If Applicable)

5. Vehicle Payment Method