2405 US-92
Lakeland, FL 33801
863-665-8700
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
PR
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
PR
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:
Employer Type:
Full-Time
Part-Time
Temporary
Fixed Income
Self-Employed
Cash Income
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
PR
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
PR
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
PR
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:
Employer Type:
Full-Time
Part-Time
Temporary
Fixed Income
Self-Employed
Cash Income
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
PR
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
2015 Ford Fusion Hybrid SE HYBRID BLUE FWD Continuously Variable Sedan 2.0L Hybrid 3120 4 Cylinders - 3120
2015 Chevrolet Equinox LT BLUE FWD Automatic SUV 2.4L Gasoline 3133 4 Cylinders - 3133
2014 Mitsubishi Mirage ES SILVER FWD Continuously Variable Hatchback 1.2L Gasoline 3123 3 Cylinders - 3123
2014 Dodge Charger POLICE BLUE RWD Automatic Sedan 5.7L Gasoline 3138 8 Cylinders - 3138
2013 Ford F-150 SINGLE CAB WHITE 4WD Automatic Truck 3.7L Gasoline 3140 6 Cylinders - 3140
2013 Dodge Charger POLICE GREEN RWD Automatic Sedan 5.7L Gasoline 3143 8 Cylinders - 3143
2013 Dodge Charger POLICE BLACK RWD Automatic Sedan 5.7L Gasoline 3144 8 Cylinders - 3144
2012 Volkswagen Routan SEL GREY FWD Automatic Van-Minivan 3.6L Gasoline 3114 6 Cylinders - 3114
2012 Jeep Liberty SPORT WHITE RWD Automatic SUV 3.7L Gasoline 3085 6 Cylinders - 3085
2012 Dodge Charger POLICE GREEN RWD Automatic Sedan 5.7L Gasoline 3132 8 Cylinders - 3132
2012 Chevrolet Impala POLICE WHITE FWD Automatic Sedan 3.6L Gasoline 3075 6 Cylinders - 3075
2011 Ford Fusion SE BLUE FWD Automatic Sedan 3.0L Gasoline 3092 6 Cylinders - 3092
2011 Dodge Charger POLICE TOXIC ORANGE ORANGE RWD Automatic Sedan 5.7L Gasoline 2821 8 Cylinders - 2821
2011 Chevrolet Impala POLICE WHITE FWD Automatic Sedan 3.9L Gasoline 3139 6 Cylinders - 3139
2010 MINI Cooper S WHITE FWD Automatic Hatchback 1.6L Gasoline 3080 4 Cylinders - 3080
2009 Ford Crown Victoria POLICE INTERCEPTOR BROWN RWD Automatic Sedan 4.6L Gasoline 3093 8 Cylinders - 3093
2007 Saturn VUE Green Line Hybrid HYBRID WHITE FWD Automatic SUV 2.4L Hybrid 3126 4 Cylinders - 3126
2007 Mercedes-Benz CLK-Class 350 BLUE RWD Automatic Coupe 3.5L Gasoline 2418 6 Cylinders - 2418
2005 Dodge Stratus SXT GREY FWD Automatic Sedan 2.7L Gasoline 3129 6 Cylinders - 3129
2004 BMW 5-Series I SILVER RWD Automatic Sedan 4.4L Gasoline 2150 8 Cylinders - 2150
2004 BMW 3-Series I BLUE RWD Automatic Sedan 2.5L Gasoline 3135 6 Cylinders - 3135
2003 Ford Taurus SE WHITE FWD Automatic Sedan 3.0L Gasoline 3107 6 Cylinders - 3107
2002 Buick Rendezvous CX GOLD AWD Automatic SUV 3.4L Gasoline 3131 6 Cylinders - 3131
2001 Ford Taurus LX GOLD FWD Automatic Sedan 3.0L Gasoline 2924 6 Cylinders - 2924
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