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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: