2141 Scottsville Rd
Glasgow, KY 42141
2705286478
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
2022 GMC Sierra 2500HD 2500 DENALI BLUE 4WD Automatic Truck 6.6L Diesel NJ329975 8 Cylinders - NJ329975
2022 Ford F-450 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel NJD89240 8 Cylinders - NJD89240
2021 Ford F-250 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel TBC19398 8 Cylinders - TBC19398
2020 GMC Sierra 3500HD 3500 DENALI SILVER 4WD Automatic Truck 6.6L Diesel NJ296630 8 Cylinders - NJ296630
2019 GMC Sierra 2500HD 2500 SLT GREY 4WD Automatic Truck 6.6L Diesel NJ145786 8 Cylinders - NJ145786
2019 Chevrolet Silverado 3500HD LTZ BLACK 4WD Automatic Truck 6.6L Diesel WB186652 8 Cylinders - WB186652
2019 Chevrolet Silverado 2500HD HEAVY DUTY LTZ WHITE 4WD Automatic Truck 6.6L Diesel CS162038 8 Cylinders - CS162038
2019 Chevrolet Silverado 2500HD HEAVY DUTY LTZ BLACK 4WD Automatic Truck 6.6L Diesel JE254380 8 Cylinders - JE254380
2018 GMC Sierra 3500HD 3500 SLT BLACK 4WD Automatic Truck 6.6L Diesel WB269219 8 Cylinders - WB269219
2018 GMC Sierra 3500HD 3500 DENALI BLACK 4WD Automatic Truck 6.6L Diesel NJ231286 8 Cylinders - NJ231286
2018 GMC Sierra 2500HD 2500 DENALI WHITE 4WD Automatic Truck 6.6L Diesel WB216678 8 Cylinders - WB216678
2018 GMC Sierra 2500HD 2500 DENALI TAN 4WD Automatic Truck 6.6L Diesel WB124160 8 Cylinders - WB124160
2018 GMC Sierra 2500HD 2500 DENALI TAN 4WD Automatic Truck 6.6L Diesel JE116645 8 Cylinders - JE116645
2018 GMC Sierra 2500HD 2500 DENALI SILVER 4WD Automatic Truck 6.6L Diesel JE257442 8 Cylinders - JE257442
2018 GMC Sierra 2500HD 2500 DENALI GRAY 4WD Automatic Truck 6.6L Diesel WB218186 8 Cylinders - WB218186
2018 Ford F-350 SD SUPER DUTY GREY 4WD Automatic Truck 6.7L Diesel NJB10904 8 Cylinders - NJB10904
2018 Ford F-350 SD SUPER DUTY GRAY 4WD Automatic Truck 6.7L Diesel NJB17799 8 Cylinders - NJB17799
2018 Ford F-250 SD SUPER DUTY SILVER 4WD Automatic Truck 6.7L Diesel NJB10102 8 Cylinders - NJB10102
2018 Ford F-250 SD SUPER DUTY BLACK 4WD Automatic Truck 6.7L Diesel NJB81967 8 Cylinders - NJB81967
2018 Chevrolet Silverado 2500HD HIGH COUNTRY MAROON 4WD Automatic Truck 6.6L Diesel JE194644 8 Cylinders - JE194644
2017 GMC Sierra 2500HD 2500 SLT BLUE 4WD Automatic Truck 6.6L Diesel CS205931 8 Cylinders - CS205931
2017 Ford F-350 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel JEE25904 8 Cylinders - JEE25904
2017 Ford F-350 SD SUPER DUTY GREY 4WD Automatic Truck 6.7L Diesel NJB75790 8 Cylinders - NJB75790
2017 Chevrolet Silverado 2500HD HIGH COUNTRY WHITE 4WD Automatic Truck 6.6L Diesel WB216409 8 Cylinders - WB216409
2017 Chevrolet Silverado 2500HD HEAVY DUTY LTZ BLACK 4WD Automatic Truck 6.6L Diesel WB153846 8 Cylinders - WB153846
2017 Chevrolet Silverado 2500HD HEAVY DUTY LTZ BLACK 4WD Automatic Truck 6.6L Diesel CS115521 8 Cylinders - CS115521
2017 Chevrolet Silverado 2500HD HEAVY DUTY LT WHITE 4WD Automatic Truck 6.6L Diesel WB211983 8 Cylinders - WB211983
2014 RAM 4500 BLACK 4WD Automatic Truck 6.7L Diesel CS214761 6 Cylinders - CS214761
2012 Ford F-350 SD SUPER DUTY WHITE 4WD Automatic Truck 6.7L Diesel NJC06261 8 Cylinders - NJC06261
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, you expressly consent to receive customer care text messages and/or phone calls to the number provided from or on behalf of Jackson Automotive LLC or their employees in response to your inquiry. By opting in, you understand no mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies per user. Message and data rates may apply. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our
Privacy Policy
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, you expressly consent to receive customer care text messages and/or phone calls to the number provided from or on behalf of Jackson Automotive LLC or their employees in response to your inquiry. By opting in, you understand no mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies per user. Message and data rates may apply. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our
Privacy Policy
for more information.