Credit Application

Your trusted partner for vehicle financing. Get competitive rates, fast approval, and flexible payment options.

We never ask for your Social Security number online. Once we receive your application, a member of our finance team will contact you to complete it.

Contact Information

First name*

Middle initial

Last name*

Email*

Phone*

Cell

Address line 1*

Address line 2 (apt, suite, unit)

City*

State*

ZIP code*

Driver's license or ID*

License or ID number (leave blank if N/A)

Rent or own?*

Moved in (month)*

Moved in (year)*

Monthly payment or rent ($)*

Individual or joint?*

Employment Information

Employer name*

Job title*

Work phone*

Hired (month)*

Hired (year)*

Monthly income before taxes ($)*

Additional income source

Additional monthly income ($)

Vehicle Information

Purchase type*

Do you have a trade-in?*

Year*

Make*

Model*

Approximate price ($)*

Purchase / loan amount ($)*

* I have read and agree to the terms and conditions. I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin credit investigation, to process my application, and to forward my application to lenders. Notice: this is an application for credit.

* I agree to receive text messages from H&M Auto Sales at the phone number provided, including automated messages about my inquiry, offers, and updates. Consent is not a condition of purchase. Reply STOP to opt out. Reply HELP for help. Message frequency varies. Message and data rates may apply. See our Privacy Policy and Terms of Service.