ONLINE CREDIT APPLICATION 

Interested in a new or used vehicle Carter Chevrolet? Use our convenient and secure
credit application to start the financing process without leaving the comfort of your home or office.
 
Personal Information   fields with * must be filled
*Title:
* Last Name:
* First Name:
Middle Initial:
* Date of Birth: dd mm yy
S.S.N:
Spouse's Name:
*Email:
* Street:
* City:
* Phone: - -
* Postal Code:
* Duration:
* Residence:
* Monthly Payment:
 
Current Employer Information   fields with * must be filled
* Employer:
* Occupation:
* Start Year: (Please enter 4 digit year)
* City:
* Work Phone: - -
* Postal Code:
* Salary/Pay: /Month
Other Income:
 
Credit Information    fields with * must be filled
* Financial Institution:
* Account Type:
* Do you
make support payments?
(Alimony, child support, etc.)		 yes    no
If yes, monthly amount?
   
* Have you ever
declared bankruptcy?		 yes    no
* Have you ever had
something repossessed?
yes    no
 
 


Consent for Credit Check

By submitting this form, I consent that the above information is true and correct to the
complete and best of my knowledge.  I agree to a credit investigation and also agree and consent to verification of employment.  I understand that FALSIFYING information on an application for credit is a crime and is punishable by law.