7840 Dayton Springfield Rd
Fairborn, OH 45324
937-864-2678
Site Menu
Inventory
Financing
Apply Online
Loan Calculator
ASC Warranty
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
2021 GMC Sierra 1500 Elevation Double Cab 4WD White 4WD Cloth Automatic Truck 5.3L V8 OHV 16V Gasoline 331108 8 Cylinders - 331108
2020 Mazda MAZDA3 Select Black FWD Leather Automatic Sedan 2.5L L4 DOHC 16V Gasoline 175083 4 Cylinders - 175083
2019 Ford F-150 XLT SuperCrew 5.5-ft. Bed 4WD Red 4WD Cloth Automatic Truck 3.3L V6 DOHC 24V Gasoline C48250 6 Cylinders - C48250
2019 Ford F-150 XLT 4WD SuperCrew 5.5' Box Silver 4WD Truck 3.5L V6 TURBO D17846 0 Cylinders - D17846
2019 Ford Edge SE AWD Black AWD Cloth Automatic SUV 2.0L L4 DOHC 16V Gasoline B03557 4 Cylinders - B03557
2019 Ford EcoSport SES AWD Gray AWD Cloth Automatic Hatchback 2.0L L4 DOHC 16V Gasoline 295528 4 Cylinders - 295528
2018 Ford F-150 XL SuperCrew 5.5-ft. Bed 4WD Blue 4WD Cloth Automatic Truck 3.5 V6 Gasoline F69702 6 Cylinders - F69702
2018 Ford Escape SE 4WD Charcoal 4WD Cloth Automatic SUV 1.5L L4 DOHC 16V Gasoline A72969 4 Cylinders - A72969
2018 Ford EcoSport SES AWD Black AWD Leather Automatic Hatchback 2.0L L4 DOHC 16V Gasoline 179983 4 Cylinders - 179983
2018 Chrysler Pacifica Touring-L White FWD Leather Automatic Van-Minivan 3.6L V6 DOHC 24V 258023 6 Cylinders - 258023
2018 Chevrolet Silverado 1500 LT Crew Cab 4WD Blue 4WD Cloth Automatic Truck 5.3L V8 OHV 16V Gasoline 195178 8 Cylinders - 195178
2018 Chevrolet Equinox LT 2WD White FWD Cloth Automatic SUV 2.0L L4 DOHC 16V TURBO Gasoline 153194 4 Cylinders - 153194
2017 Jeep Cherokee Limited 4WD Gray 4WD Leather Automatic SUV 2.4L L4 DOHC 16V 537018 4 Cylinders - 537018
2017 Ford Focus SE Sedan White FWD Cloth 6 Speed Manual Sedan 1.0L L3 222084 3 Cylinders - 222084
2016 Jeep Patriot Sport SE 2WD Black FWD Cloth Automatic SUV 2.0L L4 DOHC 16V Gasoline 754616 4 Cylinders - 754616
2016 Jeep Cherokee Limited 4WD Gray 4WD Leather Automatic SUV 2.4L L4 DOHC 16V Gasoline 186724 4 Cylinders - 186724
2016 Jeep Cherokee Latitude FWD Silver FWD Cloth Automatic SUV 2.4L L4 DOHC 16V Gasoline 256341 4 Cylinders - 256341
2016 Ford Flex SEL AWD Silver AWD Leather Automatic SUV 3.5L V6 DOHC 24V Gasoline A20001 6 Cylinders - A20001
2016 Chrysler 200 C Gray FWD Leather Automatic Sedan 3.6L V6 DOHC 24V FFV Gasoline 100746 6 Cylinders - 100746
2016 Chevrolet Equinox LT 2WD Red FWD Cloth Automatic SUV 2.4L L4 DOHC 16V FFV Gasoline 172718 4 Cylinders - 172718
2015 Kia Soul + Red FWD Cloth Automatic Wagon 2.0L L4 DOHC 16V 817736 4 Cylinders - 817736
2015 Honda CR-V Touring AWD White AWD Leather Automatic SUV 2.4L L4 DOHC 16V 116333 4 Cylinders - 116333
2015 Ford Fiesta SE Sedan Silver FWD Cloth Automatic Sedan 1.6L L4 DOHC 16V Gasoline 208664 4 Cylinders - 208664
2015 Chevrolet Trax LT FWD Red FWD Cloth Automatic SUV 1.4L L4 DOHC 16V 172199 4 Cylinders - 172199
2015 Buick Encore Premium AWD White AWD Leather Automatic SUV 1.4L L4 DOHC 16V TURBO Gasoline 036860 4 Cylinders - 036860
2014 Mercedes-Benz C-Class C300 4MATIC Sport Sedan Black AWD Leather Automatic Sedan 3.5L V6 DOHC 16V Gasoline 309097 6 Cylinders - 309097
2014 Mazda MAZDA3 I Grand Touring AT 4-Door Gray FWD Automatic Sedan 2.0L L4 DOHC 16V 166513 4 Cylinders - 166513
2014 Kia Sportage LX AWD White AWD Cloth Automatic SUV 2.4L V6 DOHC 24V Gasoline 568698 4 Cylinders - 568698
2014 Ford Focus SE Sedan Silver FWD Cloth Automatic Sedan 2.0L L4 DOHC 16V Gasoline 112551 4 Cylinders - 112551
2013 Subaru Outback 2.5i Premium Green AWD Cloth Automatic Wagon 2.5L H4 DOHC 16V Gasoline 251855 4 Cylinders - 251855
2013 Honda Crosstour EX 2WD Brown FWD Cloth Automatic SUV 2.4L L4 DOHC 16V Gasoline 003354 4 Cylinders - 003354
2013 Ford F-150 XLT SuperCrew 5.5-ft. Bed 4WD Silver 4WD Automatic Truck 3.5L V6 TURBO D66347 6 Cylinders - D66347
2013 Chrysler Town & Country Touring Red FWD Leather Automatic Van-Minivan 3.6L V6 DOHC 24V Gasoline 818543 6 Cylinders - 818543
2013 Chevrolet Captiva Sport 2LS FWD Blue FWD Cloth Automatic SUV 2.4L L4 DOHC 16V FFV Gasoline 508357 4 Cylinders - 508357
2011 Ford F-150 Lariat SuperCrew 5.5-ft. Bed 4WD Bronze 4WD Leather Automatic Truck 3.5L V6 TURBO Gasoline D37834 6 Cylinders - D37834
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