2141 Scottsville Rd
Glasgow, KY 42141
270-479-7453
Menu
Site Menu
Inventory
All Inventory
Sold
Financing
Testimonials
Services
Merchandise
Our Store
Store Info
About Us
Meet Our Staff
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
2024 GMC Sierra 2500HD 2500 SLT WHITE 4WD Automatic Truck 6.6L Diesel NJ331918 8 Cylinders - NJ331918
2023 GMC Sierra 2500HD 2500 DENALI SILVER 4WD Automatic Truck 6.6L Diesel TB138969 8 Cylinders - TB138969
2022 Ford F-350 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel NJF26707 8 Cylinders - NJF26707
2022 Ford F-350 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel NJE73297 8 Cylinders - NJE73297
2022 Ford F-350 SD SUPER DUTY GREY 4WD Automatic Truck 6.7L Diesel TBC62172 8 Cylinders - TBC62172
2021 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel NJ104762 8 Cylinders - NJ104762
2021 GMC Sierra 2500HD 2500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel CS200797 8 Cylinders - CS200797
2020 GMC Sierra 2500HD 2500 DENALI GREY 4WD Automatic Truck 6.6L Diesel JE334702 8 Cylinders - JE334702
2020 GMC Sierra 2500HD 2500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel TB142301 8 Cylinders - TB142301
2020 Ford F-250 SD SUPER DUTY MAROON 4WD Automatic Truck 6.7L Diesel NJD55832 8 Cylinders - NJD55832
2019 GMC Sierra 3500HD 3500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel WB255823 8 Cylinders - WB255823
2019 Chevrolet Silverado 2500HD HEAVY DUTY LTZ WHITE 4WD Automatic Truck 6.6L Diesel WB185509 8 Cylinders - WB185509
2019 Chevrolet Silverado 2500HD HEAVY DUTY LTZ BLACK 4WD Automatic Truck 6.6L Diesel WB228723 8 Cylinders - WB228723
2018 RAM 2500 LARAMIE GREY 4WD Automatic Truck 6.7L Gasoline JE175306A 6 Cylinders - JE175306A
2018 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel NJ234443A 8 Cylinders - NJ234443A
2018 GMC Sierra 2500HD 2500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel NJ201898 8 Cylinders - NJ201898
2018 Ford F-250 SD SUPER DUTY BLACK 4WD Automatic Truck 6.7L Diesel NJC88302 8 Cylinders - NJC88302
2017 GMC Sierra 3500HD 3500 DENALI BLUE 4WD Automatic Truck 6.6L Diesel NJ122606 8 Cylinders - NJ122606
2017 GMC Sierra 2500HD 2500 DENALI SILVER 4WD Automatic Truck 6.6L Diesel JE205418 8 Cylinders - JE205418
2017 Chevrolet Silverado 2500HD HIGH COUNTRY TAN 4WD Automatic Truck 6.6L Diesel JE129858 8 Cylinders - JE129858
2017 Chevrolet Silverado 2500HD HEAVY DUTY LTZ TAN 4WD Automatic Truck 6.6L Diesel NJ128849 8 Cylinders - NJ128849
2013 GMC Sierra 3500HD 3500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel NJ199240 8 Cylinders - NJ199240
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:
By checking this box I hereby consent to receive customer care text messages and/or phone calls from or on behalf of Jackson Automotive LLC 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" or "HELP" for help. See our https://jacksonautomotivellc.com/privacy for more information.
Submit Credit App
Hours & Directions
×
Text Us
Text us
×
Close
First Name
Last Name
Mobile Phone
Comments
ACKNOWLEDGMENT AND CONSENT:
By checking this box I hereby consent to receive customer care text messages and/or phone calls from or on behalf of Jackson Automotive LLC 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" or "HELP" for help. See our https://jacksonautomotivellc.com/privacy for more information.