Kunes Country

1231 E. Geneva St.
Delavan, WI 53115
Phone: 262-728-9163
Fax: 262-728-9163

Special Finance Department

We have a Team of Specialists Here to Meet you personally & assist you in this process.

We give good people like you a second chance. We understand that life’s obstacles can sometimes take its toll on your credit and we are here to help you! Whether you have experienced some “bumps in the road”, or have already filed a bankruptcy, we can help. We know bankruptcy is a big step to take and once you have filed you feel as if a great weight has been lifted off your shoulders. Most people think that it is the end of their credit and that simply is not true. We have people who are experienced with the bankruptcy process and understand you can be as credit worthy as those that have “good credit”, you just need a helping hand to get you there. Please fill out the credit application below and submit. We will receive your application the same day!

* Required

This secure form will start the credit verification process.

Applicant Information

First Name *

Middle Initial

Last Name *

Suffix

Date of Birth *

Social Security Number *

Email *

Address *

City *

State *

ZIP *

Home Phone *

Cell Phone

Housing Information

Length of Residence *

Housing Status *

Mortgage/Rent Amount *

Landlord or Mortgage Holder *

Previous Address *

Previous City *

Previous State *

Previous ZIP *

Previous Length of Residence *

Previous Rent or Mortgage Amount *

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 *

Co-Signer Information

Please fill out the below section if Co-Signer is involved.

First Name

Middle Initial

Last Name

Suffix

Date of Birth

Social Security Number

Address

City

State

Zip

Home Phone

Cell Phone

Co-Signer Housing

Length of Residence

Housing Status

Mortgage/Rent Amount

Landlord or Mortgage Holder

Previous Address

Previous City

Previous State

Previous Length of Residence

Previous Rent or Mortgage Amount

Co-Signer 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

Additional Information

Additional Comments

Signature & Privacy Statement

Signature *

Date *

* Required

By submitting this credit application, I verify that the information provided is complete and accurate to the best of my knowledge. I further authorize an investigation of my credit and employment history. I also accept the terms of the Privacy Policy.

We will need a few things from you to bring with you when we meet:

1) Valid Driver’s License

2) Two most recent paystubs OR proof of SSI/ Disability/ Child Support

3) Recent phone bill/ cell phone bill with current address on it

4) One other bill with your name and address on it (utility bill, insurance bill etc)