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
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
2019 Honda Odyssey EX-L Silver FWD Leather Automatic Van-Minivan 3.5L Gasoline 5471 6 Cylinders - 5471
2018 Honda Odyssey EX-L Blue FWD Automatic Van-Minivan 3.5L 5475 6 Cylinders - 5475
2017 Subaru Crosstrek 2.0i Premium PZEV 5M Tan AWD Cloth Manual Wagon 2.0L Gasoline 5422 4 Cylinders - 5422
2015 Honda Odyssey EX-L Silver FWD Leather Automatic Van-Minivan 3.5L Gasoline 5381 6 Cylinders - 5381
2014 Honda Odyssey EX-L Blue FWD Automatic Van-Minivan 3.5L 5472 6 Cylinders - 5472
2014 Honda CR-V 4WD 5dr EX-L w/Navi Black AWD Leather Automatic SUV 2.4L Gasoline 5456 4 Cylinders - 5456
2013 Chevrolet Silverado 1500 LT Crew Cab 2WD White RWD Cloth Automatic Truck 5.3L Gasoline 5345 8 Cylinders - 5345
2012 Toyota Sequoia Plantium 4WD Gray 4X4 Leather Automatic SUV 5.7L Gasoline 5474 8 Cylinders - 5474
2012 Toyota Camry SE Red FWD Automatic Sedan 2.5L 4947 4 Cylinders - 4947
2012 Honda Pilot EX-L 4WD 5-Spd AT Gray 4X4 Automatic SUV 3.5L 5476 6 Cylinders - 5476
2012 Honda Fit 5dr HB AT Black FWD Cloth Automatic Hatchback 1.5L Gasoline 5452 4 Cylinders - 5452
2011 Toyota Tundra Tundra-Grade Double Cab 4.6L 4WD Maroon 4X4 Cloth Automatic Truck 4.6L Gasoline 5450 8 Cylinders - 5450
2011 Toyota RAV4 Base I4 4WD Silver 4X4 Automatic SUV 2.5L 5482 4 Cylinders - 5482
2011 Honda Civic EX-L Sedan BROWN FWD Leather Automatic Sedan 1.8L Gasoline 5408 4 Cylinders - 5408
2011 Honda Civic 4dr Sdn LX Auto Blue FWD Automatic Sedan 1.8L 5438 4 Cylinders - 5438
2010 Toyota RAV4 Limited I4 4WD Black 4X4 Automatic SUV 2.5L 5470 4 Cylinders - 5470
2010 Toyota Camry LE 6-Spd AT Gray FWD Automatic Sedan 2.5L 5467 4 Cylinders - 5467
2010 Honda Odyssey EX w/ DVD Silver FWD Automatic Van-Minivan 3.5L 5481 6 Cylinders - 5481
2009 Toyota Highlander Limited 2WD Black FWD Leather Automatic SUV 3.5L Gasoline 5464 6 Cylinders - 5464
2009 Nissan Maxima S Silver FWD Leather CVT Sedan 3.5L Gasoline 5407 6 Cylinders - 5407
2009 Acura TSX 4D Sedan w/Tech Pkg White FWD Automatic Sedan 2.4L 5445 4 Cylinders - 5445
2008 Toyota Sienna LE - 7 Passenger Tan FWD Cloth Automatic Van-Minivan 3.5L Gasoline 5436 6 Cylinders - 5436
2008 Toyota Sienna 5dr 8-Pass Van I4 LE FWD (Natl) Silver FWD Cloth Automatic Van-Minivan 3.5L Gasoline 5271 6 Cylinders - 5271
2008 Lexus RX 350 AWD Black AWD Automatic SUV 3.5L 5478 6 Cylinders - 5478
2008 Honda Accord LX sedan Gray FWD Cloth Manual Sedan 2.4L Gasoline 5429 4 Cylinders - 5429
2007 Toyota 4Runner SR5 4WD Tan 4WD Automatic SUV 4.0L 5462 6 Cylinders - 5462
2006 Saturn ION Sedan 2 w/Auto Silver FWD Automatic Sedan 2.2L 5454 4 Cylinders - 5454
2006 Honda Accord LX sedan AT White FWD Automatic Sedan 2.4L 5432 4 Cylinders - 5432
2004 Lexus ES 330 Sedan Gray FWD Automatic Sedan 3.3L 5469 6 Cylinders - 5469
2004 Honda Accord EX V-6 Coupe 6-Speed MT with XM Radio Silver FWD Manual Coupe 3.0L 5282 6 Cylinders - 5282
2003 Lexus IS 300 5-Speed Sedan Red RWD Automatic Sedan 3.0L 4827 6 Cylinders - 4827
2003 Honda Accord EX Sedan AT Tan FWD Automatic Sedan 2.4L L4 DOHC 16V 5473 0 Cylinders - 5473
2001 Honda CR-V EX 4WD White AWD Automatic SUV 2.0L 4916 4 Cylinders - 4916
1999 Mercury Grand Marquis LS Blue RWD Leather Automatic Sedan 4.6L Gasoline 5455 8 Cylinders - 5455
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".