474 S Church St
Burlington, NC 27215
336-227-5040
Site Menu
Inventory
Financing
Apply Online
Loan Calculator
Visit Us
Services
Value Your Trade-In
Vehicle Finder
Our Store
About Us
Meet Our Staff
Testimonials
Contact Us
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
2018 Toyota Camry XLE V6 BLUE FWD Leather AUTO Sedan 3.5L V6 F DOHC 24V Gasoline 5065 6 Cylinders - 5065
2016 Lincoln MKX Reserve AWD Burgundy AWD AUTO SUV 3.7L V6 F DOHC 24V 5051 6 Cylinders - 5051
2016 Honda Pilot Touring 4WD Black 4WD Leather AUTO SUV 3.5L V6 F SOHC 24V Gasoline 5078 6 Cylinders - 5078
2016 Honda Civic LX Sedan CVT Gray FWD AUTO Sedan 2.0L I4 F DOHC 16V 5074 4 Cylinders - 5074
2015 Subaru XV Crosstrek 2.0 Limited Not Specified AWD 5M w/ OD SUV 2.0L H4 F DOHC 16V 5081 4 Cylinders - 5081
2015 Honda Odyssey EX-L Gray FWD AUTOMATIC Van-Minivan 3.5L V6 MPI SOHC 24V 5068 6 Cylinders - 5068
2015 Honda Civic LX Sedan CVT Gray FWD AUTO Sedan 1.8L I4 F SOHC 16V 5073 4 Cylinders - 5073
2015 Honda Civic EX Sedan CVT Gray FWD Cloth AUTO Sedan 1.8L I4 F SOHC 16V Gasoline 5075 4 Cylinders - 5075
2015 Ford ESCAPE SE White AUTO SUV 2.0L I4 F DOHC 16V 5067 4 Cylinders - 5067
2014 GMC Sierra 2500HD SLT Crew Cab 4WD Silver 4WD Leather AUTO Truck 6.0L V8 F OHV 16V Gasoline 4998 8 Cylinders - 4998
2013 Volkswagen Passat 2.0L TDI SEL Premium Black FWD Leatherette AUTOMATIC Sedan 2.0L I4 F 16V Diesel 5071 4 Cylinders - 5071
2013 Ford F-150 XLT SuperCrew 6.5-ft. Bed 4WD White 4WD AUTOMATIC Truck 3.5L V6 F DOHC 24V 5070 6 Cylinders - 5070
2013 Ford Explorer XLT 4WD Silver 4WD Leather AUTO SUV 3.5L V6 F DOHC 24V Gasoline 5059 6 Cylinders - 5059
2013 Ford Explorer Police 4WD White 4WD AUTO SUV 3.7L V6 F DOHC 24V 5022 6 Cylinders - 5022
2013 Ford Edge Limited FWD White FWD Leather AUTO SUV 3.5L V6 F DOHC 24V Gasoline 5029 6 Cylinders - 5029
2012 Subaru Outback 2.5i White AWD OTHER Wagon 2.5L H4 F DOHC 16V 5048 4 Cylinders - 5048
2011 Honda Civic 4dr Sdn VP Auto Gray FWD Cloth AUTOMATIC Sedan 1.8L I4 F SOHC 16V Gasoline 5063 4 Cylinders - 5063
2011 Ford Edge SEL FWD Not Specified FWD 6A SUV 3.5L V6 SFI DOHC 24V 5054 6 Cylinders - 5054
2010 Honda Accord EX-L V-6 Coupe AT Blue FWD Leather 5A w/ OD Coupe 3.5L V6 F SOHC 24V Gasoline 5057 6 Cylinders - 5057
2009 Infiniti G Convertible G37 White RWD AUTO Convertible 3.7L V6 F DOHC 24V 5077 6 Cylinders - 5077
2009 Ford Flex Limited FWD Gray FWD Leather Automatic SUV 3.5L V6 DOHC 24V Gasoline 4605a 6 Cylinders - 4605a
2007 Hyundai Santa Fe GLS BLACK FWD SUV 2.7L V6 DOHC 24V 5056 0 Cylinders - 5056
1997 Mazda B-Series B2300 Reg. Cab 2WD Green RWD OTHER Truck 2.3L I4 F 5082 4 Cylinders - 5082
1996 Mercedes-Benz E-Class E300D Black RWD 4A Sedan 3.0L I6 F Diesel 4497 6 Cylinders - 4497
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.
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".
Submit Credit App
Text Us
Text us
×
Close
First Name
Last Name
Mobile Phone
Comments
ACKNOWLEDGMENT AND CONSENT:
I hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".