Sales Department

Sales Team:

Raul O. (Sales/Finance Manager)

JD L. (Sales)

Browse Our Inventory

Chrysler (1)

Dodge (3)

Ford (6)

GMC (2)

Hyundai (3)

Kia (1)

Lexus (1)

Lincoln (1)

Contact Us

* Required Field

First Name *

Last Name *

Email Address *

Daytime Phone Number

Evening Phone Number

Time Zone

How should we contact you?

When should we contact you?

When are you planning to make a purchase?

Questions or Comments *

Credit Application

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* Required Field

Application Type *

Personal Information

Applicant:

First Name *

Middle Name/Initial

Last Name *

Email Address *

Home Phone

Work Phone *

Cell Phone *

Social Security #*

Date of Birth *

Driver's License #

Driver's License Exp. Date

Driver's License Issued In

How should we contact you?

When should we contact you?

Co-Applicant

First Name *

Middle Initial

Last Name *

Email Address *

Home Phone

Work Phone *

Cell Phone *

Social Security # *

Date of Birth *

Driver's License #

Driver's License Exp. Date

Driver's License Issued In

Employment Information

Applicant:

Employment Status *

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Co-Applicant

Employment Status

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Residential Information

Applicant:

Current Address *

Current Address Line 2

City *

County *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Co-Applicant

Current Address *

Current Address Line 2

City *

County *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Financial Information

Applicant:

Mortgage Balance

Mortgage Lender

Monthly Payment

Name of Bank

Account Type(s)

Name of Bank

Account Type(s)

Other Income (monthly)

Source

Other Income (monthly)

Source

Other Income (monthly)

Source

Desired Vehicle

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Year:

Make:

Model:

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Desired Vehicle *

MUST INCLUDE DOWN PAYMENT AMOUNT

Vehicle Price

Down Payment

Trade-In Value

Sales Tax

Interest Rate

Loan Term (Months)

Amount Financed

Monthly Payment

Trade-In Vehicle

VIN

Year

Make

Model

Exterior Color

Mileage

Condition

Asking Price

Remaining Balance

Describe Vehicle Condition and History

Comments & Certification

Comments, References or Additional Information

I certify that the information provided by me is correct.
I certify that I am eighteen years of age or older.

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.