Apply For Financing | J & S Sales and Service

258 Keltan Heights
Waterbury Center, VT 05677
Call: 802-274-2586
Text: 802-535-5165

Credit Application

Mailing Address
Name
First Name Last Name
Address*
Street Address Street Address Line 2 City State Postal / Zip Code
Previous Address
Street Address Street Address Line 2 City State / Province Postal / Zip Code
What vehicle are you interested in?*
Personal Information
Date of Birth*
Email
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Date
Occupation*
Social Security Number*
Drivers License Number*
Best Number We Can Call Or Text You?*
Issue Date
Date of Expiration
Living Information
How Long at Address*
Type of Residence*
Rent/Mortgage*
Employer Information
Employer Name*
Length Of Employment*
Employer Phone #*
Monthly Wages*
Previous Employer Name*
Previous Employer Phone #*
Additional Income
Explain Additional Income
Your Bank Name
Do you have the following
- Checking Account
- Savings Account
- Both
- Neither
How much do you have for a down payment*
*
- I understand my rights and responsibilities under FDIC Law
- I understand the Consent for Electronic Documents
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Dealer Email
By clicking to apply, you (a) certify that all of the information provided in this application is true and provided for the purpose of obtaining credit; and (b) authorize us and our authorized agents to share all information obtained in connection with your application with our Finance Partners for the purpose of processing your application, and to access your credit report in order to evaluate your credit application.
By submitting credit application you acknowledge that you have read and agree to the Privacy Policy.
Name
First Last
Comments
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Mailing Address

Personal Information

Living Information

Employer Information

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