APPLICATION FOR CREDIT

We specialize in auto finance. Our multiple finance sources and experience in financing is unparalleled. With an excellent credit history you can be assured of the best rates in the market.

NO CREDIT – BAD CREDIT??? NO PROBLEM!!!

Bad things happen to good people and we understand that. Our special finance officers are well-equipped to make sure you drive away in a choice car.
Call (845) 297-5500 or complete the form below and one of our expert finance managers will contact you right away!

*Denotes a required field.

Click for a Personal Credit ApplicationClick for Business Application

PERSONAL INFORMATION

First name Middle name Last name Suffix SSN# DOB
Gender

Cell phone # Home phone # Email

D/L # D/L Expiry Date
D/L state
Country

Extension

RESIDENCE INFO

Street # Street direction Street name Street type Apt or suite # City State
Country Zip

Time at residence Do you

Monthly payment $ (If none enter 0)

Name of landlord Landlord's phone #

PREVIOUS RESIDENCE

Address line 1 Address line 2 City State
Country Zip

Time at residence

PREVIOUS RESIDENCE

Address line 1 Address line 2 City State
Country Zip

Time at residence

EMPLOYMENT INFO

Are you employed?

Do you have additional income?

PREVIOUS EMPLOYMENT

Employer Address 1 Address 2 City State
Country Zip

Time at job Work phone Self-employed ? Occupation Name of supervisor

PREVIOUS EMPLOYMENT

Employer Address 1 Address 2 City State
Country Zip

Time at job Work phone Self-employed ? Occupation Name of supervisor

CO-BUYER'S INFORMATION

Do you have a - Co-Applicant?

First name Middle name Last name Suffix SSN# DOB
Gender

Cell phone # Home phone # Email

D/L # D/L Expiry Date
D/L state
Country

CO-BUYER'S RESIDENCE INFO

Same as Buyer

Street # Street direction Street name Street type Apt or suite # City State
Country Zip

Time at residence Do you

Monthly payment $ (If none enter 0)

Name of landlord Landlord's phone #

CO-BUYER'S PREVIOUS RESIDENCE

Address line 1 Address line 2 City State
Country Zip

Time at residence

CO-BUYER'S PREVIOUS RESIDENCE

Address line 1 Address line 2 City State
Country Zip

Time at residence

CO-BUYER'S EMPLOYMENT INFO

Are you employed?

Do you have additional income?

CO-BUYER'S PREVIOUS EMPLOYMENT

Employer Address 1 Address 2 City State
Country Zip

Time at job Work phone Self-employed ? Occupation Name of supervisor

CO-BUYER'S PREVIOUS EMPLOYMENT

Employer Address 1 Address 2 City State
Country Zip

Time at job Work phone Self-employed ? Occupation Name of supervisor

DESIRED VEHICLE INFORMATION *

Find a vehicle in our inventory that you're interested, or as close to possible, so we have an idea of what you are looking for

Make Model Stock# Search

Or, let us know the type of vehicle you are looking for that is not in our inventory

Vehicle you are interested in From year To year Make Model Mileage Have you visited our online showroom? Stock

Exterior color

Color 1 Color 2 Color 3

Interior color

Color 1 Color 2 Color 3

DO YOU HAVE A VEHICLE TO TRADE-IN?

PAYMENT INFO

Desired Loan Amount $ Available down payment $ Desired monthly payment $ Additional comments

REFERRAL

How did you hear about us?

BANK INFO

Bank name Account type Have you previously applied for an auto loan? Have you ever filed bankruptcy?

ADDITIONAL INFO

Have you ever had a car /other merchandise repossessed? Do you own a vehicle?

"I represent, warrant and affirm that the above information is true and correct and have been made in order to induce you, the dealer, to grant me credit to acquire a vehicle by relying on the above knowledge. By submitting this form I authorize you, the dealer, to verify the correctness of the information by verifying my employment and residence and also to acquire other reports, including but not limited to credit bureau reports, to analyze my creditworthiness. I authorize you to retain this application and any credit agreement as your property."

E-Signature

Enter the code*

APPLICATION FOR CREDIT

NO CREDIT – BAD CREDIT??? NO PROBLEM!!!

*Denotes a required field.

PERSONAL INFORMATION

RESIDENCE INFO

PREVIOUS RESIDENCE

PREVIOUS RESIDENCE

EMPLOYMENT INFO

PREVIOUS EMPLOYMENT

PREVIOUS EMPLOYMENT

CO-BUYER'S INFORMATION

CO-BUYER'S RESIDENCE INFO

CO-BUYER'S PREVIOUS RESIDENCE

CO-BUYER'S PREVIOUS RESIDENCE

CO-BUYER'S EMPLOYMENT INFO

CO-BUYER'S PREVIOUS EMPLOYMENT

CO-BUYER'S PREVIOUS EMPLOYMENT

DESIRED VEHICLE INFORMATION *

Find a vehicle in our inventory that you're interested, or as close to possible, so we have an idea of what you are looking for

Or, let us know the type of vehicle you are looking for that is not in our inventory

Exterior color

Interior color

DO YOU HAVE A VEHICLE TO TRADE-IN?

PAYMENT INFO

REFERRAL

BANK INFO

ADDITIONAL INFO

Showroom Hours

Contact Us

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APPLICATION FOR CREDIT

NO CREDIT – BAD CREDIT??? NO PROBLEM!!!

*Denotes a required field.

PERSONAL INFORMATION

RESIDENCE INFO

PREVIOUS RESIDENCE

PREVIOUS RESIDENCE

EMPLOYMENT INFO

PREVIOUS EMPLOYMENT

PREVIOUS EMPLOYMENT

CO-BUYER'S INFORMATION

CO-BUYER'S RESIDENCE INFO

CO-BUYER'S PREVIOUS RESIDENCE

CO-BUYER'S PREVIOUS RESIDENCE

CO-BUYER'S EMPLOYMENT INFO

CO-BUYER'S PREVIOUS EMPLOYMENT

CO-BUYER'S PREVIOUS EMPLOYMENT

DESIRED VEHICLE INFORMATION *

Find a vehicle in our inventory that you're interested, or as close to possible, so we have an idea of what you are looking for

Or, let us know the type of vehicle you are looking for that is not in our inventory

Exterior color

Interior color

DO YOU HAVE A VEHICLE TO TRADE-IN? No Yes

PAYMENT INFO

REFERRAL

BANK INFO

ADDITIONAL INFO

Showroom Hours

Contact Us

DO YOU HAVE A VEHICLE TO TRADE-IN?