Finance Department

Your contact information: (*) - required fields.
*First Name:
*Last Name:
*Date of Birth:
*Driver's License Number:
How many years at this address:
How many months at this address:
Previous Address:
How many years at this address:
How many months at this address:
Employer Address:
Employer Phone Number:
How many years:
How many months:
Gross monthly income:
Previous Employer:
How many years:
How many months:
Previous Employer Address:
Other monthly income:
Name of Bank:
Check all that apply: Checking Saving
Monthly Mortgage/Rent:
The following documents will be required to complete your loan request:

  • Complete Phone Bill
  • (2) Most Recent Pay Stubs - showing year to date income
  • Utility Bill
  • (7) Verifiable References - Name, Address and Phone Number
  • Landlord Information
  • Full Coverage Insurance with no more than $500 deductible
  • Legitimate Photo Identification, (Driver's License or State I.D.)
Name, Address, Phone:
Is there anything you would like to tell us about your financial history?:
What are you interested in purchasing?:
*Email Address:
*Confirm Email Address:
For your own security, please DO NOT include your Social Security Number.


A sales representative will obtain it from you at the appropriate time.

How should the sales rep contact you?:
By clicking 'Accept / Submit', below, you agree with our Privacy Policy & Terms and Conditions You also 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, your application to lenders, financial institutions, or other third parties in order to process your application. We the Dealer, may obtain information about you as described in this notice, which we handle as stated in this privacy policy notice. This does not apply to information obtained in a non-financial transaction. 1. We collect nonpublic personal information about you from the following sources:· Information we receive from you on applications or other forms in connection with a financial transaction;· Information about your transactions with us, our affiliates, or others; and· Information we receive from a consumer reporting agency. 2. We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others. 3. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

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