Financing Department

Pugmire Lincoln
Phone: 770.952.2261
Hours:
Monday - Saturday 9:00 AM - 7:00 PM
Sunday Closed


Pugmire Ford
Phone: 770.832.2457
Hours:
Monday-Saturday 9:00 AM - 7:00 PM
Sunday Closed

Credit Application

This secure form will start the credit verification process. Fields marked * are required.

Applicant Information
What vehicle are you interested in?
First Name *
Middle Name
Last Name *
Suffix
Date of Birth (mm/dd/yyyy) *
Social Security Number *
Email *
Address *
City *
State *
ZIP *
Home Phone *
Cell Phone *
Housing Information
Length of Residence *
Housing Status *
Mortgage/Rent Amount *
Landlord or Mortgage Holder *
Previous Address *
Previous City *
Previous State *
Previous ZIP *
Previous Length of Residence *
Previous Rent or Mortgage Amount *
Employment Information
Employer *
Occupation *
Work Phone *
Gross Monthly Income *
Time Employed *
Previous Employer *
Previous Occupation *
Previous Employer's Phone
Previous Gross Monthly Income *
Previous Time Employed *
What are you currently driving…
Year
Make
Model
Lien Holder
Are you planning on trading?
Comments
Comments *
Signature & Privacy Statement
Signature *
Date (dd/mm/yyyy) *


* Required

By submitting this credit application, I verify that the information provided is complete and accurate to the best of my knowledge. I further authorize an investigation of my credit and employment history. I also accept the terms of the Privacy Policy for Pugmire Ford and Pugmire Lincoln Mercury.