22150 Timberlake Rd
Lynchburg, VA 24502
434-237-9595
Site Menu
Inventory
Apply Online
Testimonials
Services
Service Center
Vehicle Finder
Our Store
About Us
Contact Us
Meet Our Staff
Visit Us
Privacy Policy
Employment Opportunites
APPLY FOR CREDIT
Please provide name and address of company that mortgage or rent is paid to in the Additional Comments section.
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
2017 Honda Odyssey Touring White FWD Leather Automatic Van-Minivan 3.5L Gasoline 5112 6 Cylinders - 5112
2015 Buick Encore Base FWD Silver FWD Cloth Automatic SUV 1.4L Gasoline 5044 4 Cylinders - 5044
2014 Honda Odyssey Touring Black FWD Automatic Van-Minivan 3.5L 5153 6 Cylinders - 5153
2014 Honda Civic LX Sedan CVT Silver FWD Automatic Sedan 1.8L 5148 4 Cylinders - 5148
2014 Honda Accord EX-L Sedan CVT Maroon FWD Leather CVT Sedan 2.4L Gasoline 5055 4 Cylinders - 5055
2013 Toyota Tundra Tundra-Grade 5.7L FFV Double Cab 4WD Blue 4WD Cloth Automatic Truck 5.7L Gasoline 5138 8 Cylinders - 5138
2013 Toyota Prius Prius III Red FWD CVT Hatchback 1.8L 5149 4 Cylinders - 5149
2012 Toyota Camry SE Red FWD Automatic Sedan 2.5L 4947 4 Cylinders - 4947
2012 Honda Odyssey EX-L Gray FWD Automatic Van-Minivan 3.5L 5146 6 Cylinders - 5146
2012 Honda CR-V EX 4WD 5-Speed AT Blue AWD Cloth Automatic SUV 2.4L Gasoline 5117 4 Cylinders - 5117
2012 Honda Civic LX Sedan 5-Speed AT Black FWD Automatic Sedan 1.8L 5144 4 Cylinders - 5144
2011 Toyota Highlander Base 4WD Gray AWD Automatic SUV 3.5L 5151 6 Cylinders - 5151
2011 Honda Pilot Touring 4WD 5-Spd AT with DVD Black AWD Leather Automatic SUV 3.5L Gasoline 5132 6 Cylinders - 5132
2011 Honda Pilot EX-L 4WD 5-Spd AT with DVD Black AWD Automatic SUV 3.5L 5143 6 Cylinders - 5143
2011 GMC Yukon Denali 4WD Silver AWD Automatic SUV 6.2L 4902 8 Cylinders - 4902
2010 Honda CR-V EX-L 4WD 5-Speed AT BROWN AWD Automatic SUV 2.4L 5145 4 Cylinders - 5145
2010 Honda Accord LX sedan AT Silver FWD Cloth Automatic Sedan 2.4L Gasoline 5098 4 Cylinders - 5098
2009 Toyota RAV4 Sport V6 4WD Gray AWD Automatic SUV 3.5L 5150 6 Cylinders - 5150
2009 Lexus GX 470 Sport Utility Black AWD Automatic SUV 4.7L 5142 8 Cylinders - 5142
2007 Honda Pilot EX-L 4WD AT White AWD Leather Automatic SUV 3.5L Gasoline 5136 6 Cylinders - 5136
2007 Honda Pilot EX 4WD Blue AWD Automatic SUV 3.5L 4932 6 Cylinders - 4932
2006 Lexus ES 330 Sedan Silver FWD Automatic Sedan 3.3L 5141 6 Cylinders - 5141
2006 Chevrolet Silverado 1500 LT3 Crew Cab 4WD Black 4WD Cloth Automatic Truck 5.3L Gasoline 5066 8 Cylinders - 5066
2005 Lexus ES 330 Sedan Silver FWD Automatic Sedan 3.3L 5152 6 Cylinders - 5152
2004 Lexus RX 330 4WD Gray AWD Leather Automatic SUV 3.3L Gasoline 5135 6 Cylinders - 5135
2004 Honda CR-V EX 4WD AT Silver AWD Cloth Automatic SUV 2.4L Gasoline 5137 4 Cylinders - 5137
2003 Honda CR-V EX 4WD 4-spd AT Silver AWD Automatic SUV 2.4L 5147 4 Cylinders - 5147
1998 Nissan Maxima GLE White FWD Cloth Automatic Sedan 3.0L Gasoline 5126 6 Cylinders - 5126
1996 Toyota Celica Black FWD Cloth Manual Coupe 2.0 Gasoline 5115 4 Cylinders - 5115
1995 Toyota Celica GT coupe Blue FWD Leather Manual Coupe 2.2L Gasoline 5114 4 Cylinders - 5114
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