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 3500HD 3500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel TB130593 8 Cylinders - TB130593
2024 GMC Sierra 2500HD 2500 SLT WHITE 4WD Automatic Truck 6.6L Diesel NJ331918 8 Cylinders - NJ331918
2024 GMC Sierra 2500HD 2500 AT4 WHITE 4WD Automatic Truck 6.6L Diesel NJ285892 8 Cylinders - NJ285892
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 NJE73297 8 Cylinders - NJE73297
2021 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel NJ104762 8 Cylinders - NJ104762
2020 GMC Sierra 2500HD 2500 DENALI BLUE 4WD Automatic Truck 6.6L Diesel NJ269405 8 Cylinders - NJ269405
2019 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel WB132886A 8 Cylinders - WB132886A
2019 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel TB251830 8 Cylinders - TB251830
2019 Ford F-350 SD SUPER DUTY BLACK 4WD Automatic Truck 6.7L Diesel NJD27170 8 Cylinders - NJD27170
2019 Ford F-250 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel NJC96763 8 Cylinders - NJC96763
2018 RAM 3500 RED 4WD Manual Truck 6.7L Diesel TB149775 6 Cylinders - TB149775
2018 GMC Sierra 3500HD 3500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel NJ205953 8 Cylinders - NJ205953
2018 GMC Sierra 2500HD 2500 DENALI WHTE 4WD Automatic Truck 6.6L Diesel JE279527 8 Cylinders - JE279527
2018 GMC Sierra 2500HD 2500 DENALI TAN 4WD Automatic Truck 6.6L Diesel JE116645 8 Cylinders - JE116645
2018 Ford F-350 SD SUPER DUTY MAROON 4WD Automatic Truck 6.7L Diesel NJD04803 8 Cylinders - NJD04803
2018 Chevrolet Silverado 3500HD LTZ SILVER 4WD Automatic Truck 6.6L Diesel TB138020 8 Cylinders - TB138020
2018 Chevrolet Silverado 3500HD HIGH COUNTRY WHITE 4WD Automatic Truck 6.6L Gasoline NJ275378A 8 Cylinders - NJ275378A
2018 Chevrolet Silverado 2500HD HEAVY DUTY LTZ RED 4WD Automatic Truck 6.6L Diesel JE118356 8 Cylinders - JE118356
2017 GMC Sierra 2500HD 2500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel JE182366 8 Cylinders - JE182366
2017 Ford F-350 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel JEE25904 8 Cylinders - JEE25904
2017 Chevrolet Silverado 2500HD HEAVY DUTY LT WHITE 4WD Automatic Truck 6.6L Diesel WB211983 8 Cylinders - WB211983
2016 Chevrolet Silverado 2500HD HEAVY DUTY LTZ SILVER 4WD Automatic Truck 6.6L Gasoline CS288653 8 Cylinders - CS288653
2011 Chevrolet Silverado 1500 LT BLACK 4WD Automatic Truck 5.3L Flex Fuel CS257878 8 Cylinders - CS257878
2008 Chevrolet Corvette WHITE RWD Automatic Coupe 6.2L Gasoline NJ133271 8 Cylinders - NJ133271
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.