24 W. 4th Street
Salem, VA 24153
540-378-4365
Site Menu
Inventory
Financing
Apply Online
Loan Calculator
Visit Us
Services
Value Your Trade-In
Vehicle Finder
Our Store
About Us
Contact Us
Meet Our Staff
Testimonials
Privacy Policy
APPLY FOR CREDIT
Applicant Information
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Social Security:
Date of Birth:
Drivers License Number:
Drivers License State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Drivers License Exp:
Mobile Phone:
Home Phone:
Email:
Time at Residence:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Residence Type:
Rent
Own
Living with Family
Military Housing
Other
Rent/Mortgage:
Applicant Employment Information
Employer:
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Work Phone:
Time on Job:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Do you have a co-buyer?
Add Co-Buyer
Remove Co-Buyer
Co-Buyer Information
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Social Security:
Date of Birth:
Drivers License Number:
Drivers License State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Drivers License Exp:
Mobile Phone:
Home Phone:
Email:
Time at Residence:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Residence Type:
Rent
Own
Living with Family
Military Housing
Other
Rent/Mortgage:
Co-Buyer Employment Information
Employer:
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AB
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MB
MI
MN
MS
MO
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
QC
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
WV
WI
WY
YT
Zip:
Work Phone:
Time on Job:
Years:
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Vehicle Information
Vehicle To Finance:
Select Vehicle to Finance
2019 Jeep Cherokee Latitude 4WD Black 4WD Cloth Automatic SUV 3.2L V6 DOHC 24V Gasoline b-48335 6 Cylinders - b-48335
2018 Subaru Crosstrek 2.0i Premium CVT Light Blue AWD Leather Automatic SUV 2.0L L4 DOHC 16V Gasoline B-48329 4 Cylinders - B-48329
2018 Chevrolet Sonic 4dr Sdn Auto LT Burgundy FWD Cloth Automatic Sedan 1.8L L4 DOHC 24V Gasoline B-48299 4 Cylinders - B-48299
2017 Nissan Altima 2.5 S Gray FWD Cloth Automatic Sedan 2.5L L4 DOHC 16V Gasoline B-48342 4 Cylinders - B-48342
2017 Nissan Altima 2.5 S Gray FWD Cloth Automatic Sedan 2.5L L4 DOHC 16V Gasoline B-48297 4 Cylinders - B-48297
2016 Chevrolet Silverado 1500 High Country Crew Cab Short Box 4WD Black 4WD Leather Automatic Truck 5.3L V8 OHV 16V Gasoline B-48336 8 Cylinders - B-48336
2015 Lexus LS 460 Luxury Sedan AWD Black AWD Leather Trim Automatic Sedan 4.6L V8 DOHC 32V Gasoline B-48331 8 Cylinders - B-48331
2015 Lexus IS 250 AWD Tan AWD Select Automatic Sedan 2.5L V6 24V DOHC Gasoline B-48320 4 Cylinders - B-48320
2015 Ford Explorer Police 4WD White 4WD Cloth Automatic SUV 3.7L V6 DOHC 24V Flex Fuel B-48319 6 Cylinders - B-48319
2015 Audi A5 2.0T Premium Plus Cabriolet quattro Purple AWD Leather Automatic Convertible 2.0L L4 DOHC 16V TURBO Diesel B-48328 4 Cylinders - B-48328
2014 Subaru XV Crosstrek 2.0 Limited Burgundy AWD Leather Automatic SUV 2.0L L4 DOHC 16V Gasoline B-48311 0 Cylinders - B-48311
2014 Nissan Maxima SV Black FWD Select Automatic Sedan 3.5L V6 DOHC 24V Gasoline B-48252 6 Cylinders - B-48252
2014 Kia Soul + Green FWD Cloth Automatic Wagon 2.0L L4 DOHC 16V Gasoline b-48325 4 Cylinders - b-48325
2014 Ford Focus SE Sedan White FWD Cloth Automatic Sedan 2.0L L4 DOHC 16V Gasoline B-48303 4 Cylinders - B-48303
2013 Kia Soul Base White FWD Select Automatic Wagon 1.6L L4 DOHC 16V Gasoline B-48332 4 Cylinders - B-48332
2012 Chevrolet Sonic 2LS Sedan Blue FWD Cloth Automatic Sedan 1.8L L4 DOHC 24V Gasoline B-48347 4 Cylinders - B-48347
2011 Lexus IS IS 250 AWD Gray AWD Leather Automatic Sedan 2.5L V6 24V DOHC Gasoline B-48300 6 Cylinders - B-48300
2011 Kia Forte EX Gray FWD Cloth Automatic Sedan 2.0L L4 DOHC 16V Gasoline B-48304 4 Cylinders - B-48304
2011 BMW 5-Series 535i Black RWD Leather Automatic Sedan 3.0L L6 DOHC 24V Gasoline B-48339 6 Cylinders - B-48339
2010 Nissan Rogue S AWD Silver AWD Cloth Automatic SUV 2.5L L4 DOHC 16V Gasoline B-48232 4 Cylinders - B-48232
2007 Honda CR-V EX 4WD AT Pearl White 4WD Cloth Automatic SUV 2.4L L4 DOHC 16V Gasoline B-48296 4 Cylinders - B-48296
2004 Volvo S60 R Gray AWD Leather Automatic Sedan 2.5L L5 DOHC 20V TURBO Gasoline B-48317 5 Cylinders - B-48317
2004 Toyota Celica GTS White FWD Leather Automatic Hatchback 1.8L L4 DOHC 16V Gasoline B-48337 4 Cylinders - B-48337
Stock Number:
Year:
Make:
Model:
Trim:
Vin:
Mileage:
Additional Comments
ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
Submit Credit App