511 East Main Street
Council Grove, KS 66846
785-650-8172
Cell: 785-650-8172
Site Menu
Inventory
All Inventory
Inventory Specials
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:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Social Security:
Date of Birth:
Drivers License Number:
Drivers License State:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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:
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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 Hyundai Santa Fe Sport 2.4 AWD Black AWD Cloth Automatic SUV 2.4L L4 DOHC 16V Gasoline 1075A 4 Cylinders - 1075A
2016 Kia Optima LX White FWD Cloth Automatic Sedan 2.4L L4 DOHC 16V Gasoline 1087A 4 Cylinders - 1087A
2012 Toyota Camry SE Gray Select Leather Trim Automatic Sedan 2.5L L4 DOHC 16V Gasoline 1057B 4 Cylinders - 1057B
2011 Nissan Pathfinder Silver Edition 4WD Silver 4WD Leather Automatic SUV 4.0L V6 DOHC 24V Gasoline 1079b 6 Cylinders - 1079b
2010 Toyota Tundra Tundra-Grade 5.7L FFV Double Cab 4WD Silver 4WD Cloth Automatic Truck 5.7L V8 DOHC 32V FFV Gasoline 1042A 8 Cylinders - 1042A
2008 Toyota Camry Solara Sport Gray FWD Leather Automatic Coupe 3.3L V6 DOHC 24V Gasoline 925A 6 Cylinders - 925A
2007 Chevrolet Impala LS Gray FWD Select Automatic Sedan 3.5L V6 OHV 16V FFV Gasoline 1082A 6 Cylinders - 1082A
2001 Dodge Ram 1500 WS Reg. Cab Short Bed 2WD White Select Cloth Select Truck 3.9L V6 OHV 12V Gasoline 966C 0 Cylinders - 966C
1999 Chrysler Town & Country LX FWD White FWD Leather Automatic Van-Minivan 3.8L V6 OHV 12V Gasoline 1058C 6 Cylinders - 1058C
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.
Submit Credit App