Special Financing

Do you have no credit, bad credit, or are you a first time car buyer? Galpin Mercury can get you the credit you need to get the car, truck, or SUV you want. Galpin Mercury has many lenders that can give you the best financing for your new or used vehicle you have always deserved. We are also here to help you rebuild your credit with a great auto loan.

Making on-time payments toward your car loan is a wonderful way to get your credit rebuilt and back on the right track. Don’t let a bad credit situation keep you from getting you into your new or used car today. Take a couple of minutes to fill out our easy special financing application and one of our friendly finance specialists will contact you soon. We can also be reached by phone at 800-256-7137.
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Application Information

Application Information
Application Type: *  
Type of application: *  
If you are applying with a joint application, please have the cosigner complete the form after the primary applicant has hit Submit.  

Identification

Identification
First Name: *  
Middle Initial *  
Last Name: *  
Date of Birth: Month  
Date of Birth: Day  
Date of Birth: Year *  
Social Security Number: *  

Contact Information

Contact Information
(Area Code) Daytime Phone: *  
(Area Code) Evening Phone:  
EMail: *  
How would you like to be contacted?  

Address Information

Address Information
Address: *  
City: *  
State: *  
Zip:  
How long at your current residence? Years *  
Months *  
Do you rent or own? *  
Mthly rent/mtg: *  
Landlord or Mortgage Co: *  
Phone Number: *  
If less than 2 years - please complete previous history information below.  
Previous Address:  
Previous City  
Previous State:  
Zip:  
How long at previous residence? Years  
Months:  

Employment History

Employment History
Current Employer: *  
Gross Monthly Income (before taxes): *  
Position/Occupation: *  
Phone: *  
Address *  
City: *  
State: *  
Zip:  
Job Length? Years *  
Months *  
If less than 2 years - please complete previous history information below.  
Previous Employer:  
Phone  
Address  
City  
State  
Zip:  
Previous Job Length? Years  
Months:  
Previous Employer:  
Phone:  
Address:  
City:  
State:  
Zip:  
Previous Job Length? Years  
Months:  

Questionnaire

Questionnaire
Other Monthly Income - $:  
Source of other income (disability, alimony, child support):  
Bank Name *  
Branch Office:  
Account Type: *  
Education: *  
Have you ever filed for bankruptcy? *  
If yes, when:  
Have you ever had a car or other merchandise repossessed? *  
If yes, when:  

Personal References:

Personal References:
Personal Reference *  
Relationship *  
Address *  
City and State *  
Zip:  
Phone *  
Personal Reference *  
Relationship: *  
Address *  
City and State: *  
Zip:  
Phone: *  
Personal Reference  
Relationship:  
Address  
City and State:  
Zip:  
Phone:  

Credit Report Authorization

Credit Report Authorization
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.  
Credit Check: *  
(Initial here) *required *  

You certify that all the representations contained in this application are truthful and correct and you hereby authorize Galpin Motors Inc. and its affiliates and/or the Financial Institutions with whom it deals, to gather whatever credit and employment history they consider necessary and appropriate, including your consumer credit report. You also authorize Galpin Motors Inc. and its affiliates to provide credit information concerning this transaction, including, if applicable, a consumer credit report, to the Financial Institutions. You understand that Galpin Motors Inc. and its affiliates and/or any Financial Institution with whom it shares your information will retain this information whether or not your application is approved. You agree that you will notify Galpin Motors Inc. and its affiliates and any applicable financing institution of any changes of name, address or employment prior to consummating your purchase or lease of a motor vehicle from Galpin Motors Inc. and its affiliates. You understand that you may be required to provide verification of the representations made in this application and as such you may be required to provide additional documentation which includes, but is not limited to, W-2's, income tax returns, utility bills, financial statements and pay check stubs. You agree to provide, upon request such additional documentation as may be necessary to process this credit application.

  • Approval based on lender criteria, Not all customers will qualify.
Read our privacy notice - which discloses the privacy practices for Galpin Mercury. This privacy notice applies solely to information collected by this web site.
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