1713 East Patrick Henry Highway
Burkeville, VA 23922
804-928-9099
Site Menu
Inventory
All Inventory
Sold
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
2014 International CE 2014 INTERNATIONAL 77 PASS BUS 85K MI Yellow Select Vinyl Automatic Bus 6.4L V8 DIESEL Diesel bus2162 8 Cylinders - bus2162
2013 International 7400 4X4 55' BUCKET TRUCK 55K MILES AUTO TRANS 7.6DT White 4WD Vinyl Automatic Truck 7.6L L6 DIESEL Diesel 2504BUCKET 6 Cylinders - 2504BUCKET
2011 Lincoln Limousine Black Select Leather Automatic Limousine 4.6L Gasoline 1287 8 Cylinders - 1287
2010 Ford Fusion Hybrid Sedan Gray Select Cloth Select Sedan 2.5L L4 DOHC 16V HYBRID Hybrid 2010FUSIONHYBRID 0 Cylinders - 2010FUSIONHYBRID
2009 International 7600 6X4 4X4 TANDEM AXLE DUMP TRUCK 10.8 CUMMINS DIESEL Yellow 4WD Vinyl 8 Speed Manual Dump Truck 10.8L L6 DIESEL Diesel 8508TADUMP 6 Cylinders - 8508TADUMP
2008 International 4300 PRO PATCH POT HOLE ASPHALT PATCH TRUCK IHC 4300 Orange Select Vinyl Automatic Truck 7.6L L6 DIESEL Diesel PATCH7412 6 Cylinders - PATCH7412
2008 American Iron Horse American Trolley Iron Horse Optima Trolley Bus White Select IPE Wood Automatic Bus Cummins 5.9L Diesel 0316Trolley 6 Cylinders - 0316Trolley
2007 International 7400 2007 INT 7400 TANDEM AXLE DUMP TRUCK White 4WD Cloth Automatic Dump Truck HT 570 9.3L L6 DIESEL Diesel INTL7400-6117 6 Cylinders - INTL7400-6117
2007 Ford F-450 SD F450 SERVICE UTILITY TRUCK PRE EMISSION DIESEL STU white RWD Vinyl Automatic Truck 6.0L V8 OHV 32V TURBO DIESEL Diesel utility2435 8 Cylinders - utility2435
2007 American LaFrance Eagle HEIL 18 CUBIC YARD SIDE LOAD DUMP BED GARBAGE TRUC White RWD Select Automatic Garbage Truck 7.2L L6 DIESEL Diesel 7042refuse 6 Cylinders - 7042refuse
2006 International 4400 4400 White 4X2 Vinyl Automatic Box Truck 7.6L L6 DIESEL Box Shred 2473 6 Cylinders - Box Shred 2473
2004 Ford F-150 2004 4WD SUPERDUTY TRUCK 40K MILES ON THE MOTOR Red 4WD Leather Automatic Truck 5.4L V8 SOHC 16V Gasoline F150RED1819 8 Cylinders - F150RED1819
2004 Chevrolet C7500 C7500 12' DUMP TRUCK 7.2 CAT 70K MILES ALLISON AT White RWD Vinyl Automatic Dump Truck 7.2L L6 TURBO DIESEL Diesel 9823SADump 6 Cylinders - 9823SADump
2003 Ford F-350 SD 4X4 SNOW PLOW LIFT GATE TOOL BOXES F 350 DIESEL AU White 4WD Vinyl Automatic Snow Plow 6.0L V8 OHV 32V TURBO DIESEL Diesel DUALLY3032 8 Cylinders - DUALLY3032
2002 International 3800 IHC AM TRAN 78 PASSENGER SCHOOL BUS 7.3 DT444 Yellow RWD Vinyl Automatic Bus 7.3 DT 444 E Diesel BUS0748 0 Cylinders - BUS0748
1999 Spartan Gladiator 1999 SPARTAN GLADIATOR RESCUE FIRE TRUCK 30K MILES Red Select Vinyl Automatic Fire Truck 11.1 DETROIT DIESEL Diesel 2273 6 Cylinders - 2273
Stock Number:
Year:
Make:
Model:
Trim:
Vin:
Mileage:
Sales Price:
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