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
2017 Crane Carrier Co. Low Entry 33 CUBIC YARD HEIL GARBAGE TRASH REFUSE RECYCLE White Select Vinyl Automatic Garbage Truck 8.9L Diesel CC4463 6 Cylinders - CC4463
2012 International WorkStar 7600 TANDEM AXLE DUMP TRUCK White 6X4 Automatic Dump Truck 10.5L L6 DIESEL Diesel DUMP3204 0 Cylinders - DUMP3204
2012 International 4300 AMBULANCE MED TEC TYPE I IHC 4300 Red 4X2 Automatic Ambulance 7.6L L6 DIESEL Diesel 0668 6 Cylinders - 0668
2012 Crane Carrier Co. Low Entry HEIL TRASH TRUCK CRANE CARRIER SIDE LOAD 8.3 CUMMI White Select Cloth Automatic Garbage Truck 8.3L L6 DIESEL Diesel REFUSE0144 6 Cylinders - REFUSE0144
2011 Lincoln Limousine Black Select Leather Automatic Limousine 4.6L Gasoline 1287 8 Cylinders - 1287
2010 International 3000 44 PASSENGER IC CORP BUS CAPTAIN SEATS AC SEATBELT White RWD Vinyl Automatic Bus 7.6L L6 DIESEL Diesel 5928BUS44 6 Cylinders - 5928BUS44
2010 Ford Fusion Hybrid Sedan Gray Select Cloth Select Sedan 2.5L L4 DOHC 16V HYBRID Hybrid 2010FUSIONHYBRID 0 Cylinders - 2010FUSIONHYBRID
2009 International 7300 SWAP LOADER HOOK LIFT TRUCK WITH DUMP BED 11K MILE White 2WD Vinyl Automatic Dump Truck 7.6L L6 DIESEL Diesel 9465 6 Cylinders - 9465
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
2006 International 4400 SHRED SHREDDER BOX TRUCK AUTOMATIC TRANS White 4X2 Vinyl Automatic Box Truck 7.6L L6 DIESEL Diesel Box Shred 2473 6 Cylinders - Box Shred 2473
2005 ODBCO SCL800TM ODB SCL800 TM LEAF VAC TRAILER Yellow Select Select Select Trailer - Specialty John Deere Diesel ODB600 4 Cylinders - ODB600
2003 International 4400 DUMP TRUCK SHRED BOX TRUCK AUTO TRANS White 4X2 Vinyl Automatic Box Truck 7.6L L6 DIESEL Diesel SHREDBOX3241 6 Cylinders - SHREDBOX3241
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
2002 GMC Savana Thomas 15 PASSENGER MINI BUS NON CDL AC SEATBELTS White RWD Vinyl Automatic Bus 5.7L V8 OHV 16V Gasoline 7005minibus 8 Cylinders - 7005minibus
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