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Credit Application Credit Application

After filling out the application below, click on the SUBMIT button and the form will be sent to us via e-mail.  Please direct any questions you may have to sales@jimsmotors.com.
(* Required)

 Applications with the following conditions will not be considered by our finance companies.  If these conditions apply, please do not continue.
     - Beacon scores lower than 575
              - Bankruptcies discharged within the last 3 years
              - Non-US citizens
              - Non-US addresses

Please fill out the information below:
New  Used *Brand:
For Other--describe under Comments
Gooseneck   Bumper Pull
*# Horses/Stock : *Living Quarters :
*Approximate Cost:  
   
*Down Payment : Salesperson:
 
What Product Are You Interested In?: (Product Description Or Stock Number)

 
Comments: (Include trade-in information, options and trailer#(s) if not listed above.)

 
*First Name:
      
*Middle Name/Initial:
*Last Name:
*Married or Single:
*Email Address:
*Date of Birth (mm/dd/yy)
*Social Security Number: (Enter numbers only - no spaces or dashes)
*Address:
*City:
*State:
*Zip Code:
*Home Phone Number:
Cell Phone Number:
*Employer Name:
*Employer Phone Number:
  *Occupation:
*Number Of Years Employed:
  *Gross Monthly Income:
 
   

The same fields are required for the co-applicant as the primary applicant.
Leave all co-applicant fields blank if you have no co-applicant.

First Name:
      
Middle Name/Initial:
Last Name:
Driver License Number:
Email Address:
Date of Birth (mm/dd/yy)
Social Security Number: (Enter numbers only - no spaces or dashes)
Address:
 
City:
State:
Zip Code:
Home Phone Number:
 


If you have any questions or concerns, please contact us.
1-800-897-9840
sales@jimsmotors.com
Weekly Deal
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1-800-897-9840
Jims Motors
I - 44 & Ozark Dr.
Cuba, MO  65453
www.jimsmotors.com   sales@jimsmotors.com
 
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