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Rental Department
219 W Central Ave
Jamestown, TN 38556
931-879-4621
APPLY FOR CREDIT
Applicants, please put in gross income before taxes.
Applicant Information
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Zip:
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Date of Birth:
Drivers License Number:
Drivers License State:
AB
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DE
DC
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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
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WA
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YT
Drivers License Exp:
Mobile Phone:
Home Phone:
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Time at Residence:
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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
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Co-Buyer Information
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City:
State:
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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
2020 Toyota Corolla LE CVT (Natl) SILVER FWD CVT Sedan 4 Cylinder Engine Gasoline 7543 4 Cylinders - 7543
2019 Toyota Camry 4dr Sdn SE Auto (Natl) BLUE FWD Cloth Automatic Sedan 4 Cylinder Engine Gasoline 7519 4 Cylinders - 7519
2019 Hyundai Tucson SE AWD WHITE AWD Automatic SUV 4 Cylinder Engine Gasoline 7497 4 Cylinders - 7497
2018 Toyota Tacoma SR5 Double Cab 4X4 V6 BLACK 4WD Leather Automatic Truck 3.5L V6 DOHC 24V Gasoline 7432 6 Cylinders - 7432
2017 Toyota RAV4 Limited FWD (Natl) PURPLE FWD Leather Automatic SUV 4 Cylinder Engine Gasoline 7514 4 Cylinders - 7514
2017 GMC Acadia SLT-1 AWD WHITE AWD Leather Automatic SUV 3.6L V6 DOHC 24V Gasoline 7469 6 Cylinders - 7469
2017 GMC Acadia Denali FWD GRAY FWD Leather Automatic SUV 3.6L V6 DOHC 24V Gasoline 7473 6 Cylinders - 7473
2016 Kia Soul 5dr Wgn Auto Base SILVER FWD Automatic SUV 4 Cylinder Engine Gasoline 7542 4 Cylinders - 7542
2016 Ford Fusion 4dr Sdn Titanium FWD SILVER FWD Leather Automatic Sedan 4 Cylinder Engine Gasoline 7532 4 Cylinders - 7532
2016 Ford Expedition 4WD 4dr XLT SILVER 4WD Cloth Automatic SUV V6 Cylinder Engine Gasoline 7516 6 Cylinders - 7516
2015 Toyota RAV4 AWD 4dr XLE (Natl) RED AWD Cloth Automatic SUV 4 Cylinder Engine Gasoline 7536 4 Cylinders - 7536
2015 Subaru Impreza Sedan 4dr CVT 2.0i Premium WHITE AWD Cloth CVT Sedan 4 Cylinder Engine Gasoline 7539 4 Cylinders - 7539
2015 Chevrolet Silverado 1500 LT Crew Cab 4WD WHITE 4WD Cloth Automatic Truck 5.3L V8 OHV 16V Gasoline 7492 8 Cylinders - 7492
2015 Cadillac SRX AWD 4dr Premium Collection MAROON AWD Automatic SUV V6 Cylinder Engine Gasoline 7544 6 Cylinders - 7544
2014 Honda CR-V 2WD 5dr EX MAROON FWD Cloth Automatic SUV 4 Cylinder Engine Gasoline 7517 4 Cylinders - 7517
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".
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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".