1165 Symmes Rd
Fairfield, OH 45014
513-829-6556
Site Menu
Inventory
Visit Us
Services
Make A Payment
Value Your Trade-In
Vehicle Finder
Our Store
About Us
Contact Us
Meet Our Staff
Testimonials
Privacy Policy
Buy Here Pay Here
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
2015 Chevrolet Cruze 2LT Auto BLACK FWD Automatic Sedan 1.4L 1524034V 4 Cylinders - 1524034V
2013 Ford Fusion SE BLACK FWD Automatic Sedan 2.5L 1326390V 4 Cylinders - 1326390V
2012 Nissan Altima 2.5 S MAROON FWD Continuously Variable Sedan 2.5L 12568809 4 Cylinders - 12568809
2011 Chevrolet Cruze Eco BLACK FWD 6 Speed Sedan 1.4L 1129VVVR 4 Cylinders - 1129VVVR
2010 Ford Fusion V6 SEL AWD BLACK AWD Automatic Sedan 3.0L 1035RRVV 6 Cylinders - 1035RRVV
2010 Chevrolet Equinox LS FWD SILVER FWD Automatic SUV 2.4L 103031UV 4 Cylinders - 103031UV
2010 BMW 3-Series 328i xDrive GREY AWD Automatic Sedan 3.0L 1064801V 6 Cylinders - 1064801V
2009 Volkswagen Routan SEL SILVER FWD Automatic Van-Minivan 4.0L 095803VV 6 Cylinders - 095803VV
2008 HUMMER H3 Base BLACK AWD Automatic SUV 3.7L 0815VVVV 5 Cylinders - 0815VVVV
2007 Chevrolet Tahoe LT1 4WD MAROON 4WD Automatic SUV 5.3L 0715VVVV 8 Cylinders - 0715VVVV
2007 Chevrolet Tahoe LT1 4WD BLACK 4WD Automatic SUV 5.3L 0719269R 8 Cylinders - 0719269R
2007 Chevrolet Suburban LS 1500 4WD MAROON 4WD Automatic SUV 5.3L 0731962V 8 Cylinders - 0731962V
2006 Jeep Grand Cherokee Laredo 4WD BLACK 4WD Automatic SUV 3.7L 06277942 6 Cylinders - 06277942
2005 Scion tC Sport Coupe BLUE FWD 4 Speed Hatchback 2.4L 0500711V 4 Cylinders - 0500711V
2005 Pontiac Grand Prix Base GRAY FWD Automatic Sedan 3.8L 05117022V 6 Cylinders - 05117022V
2005 Ford Focus ZX4 S BLACK FWD Automatic Sedan 2.0L 051159VV 4 Cylinders - 051159VV
2004 GMC Yukon 4WD BLUE 4WD Automatic SUV 5.3L 04243VVV 8 Cylinders - 04243VVV
2004 Chevrolet Tahoe 4WD TAN 4WD Automatic SUV 5.3L 04296UVR 8 Cylinders - 04296UVR
2004 Chevrolet Avalanche 1500 4WD WHITE 4WD Automatic SUV 5.3L 04108VVV 8 Cylinders - 04108VVV
2003 Harley-Davidson FLSTCI MAROON Automatic 1450CC 03084418 0 Cylinders - 03084418
2003 Ford Expedition Eddie Bauer 4WD GREEN 4WD Automatic SUV 5.4L 03C6174V 8 Cylinders - 03C6174V
2001 Volkswagen New Beetle GLS 2.0 SILVER FWD Automatic Hatchback 2.0L 0145206V 4 Cylinders - 0145206V
2001 Chevrolet Tahoe 4WD TAN 4WD Automatic SUV 5.3L 01262VRV 8 Cylinders - 01262VRV
1998 BMW 5-Series 540iA SILVER RWD Automatic Sedan 4.4L 98W62VIV 8 Cylinders - 98W62VIV
1997 Ford F-150 SuperCab Short Bed 4WD WHITE 4WD Automatic Truck 4.6L 97A80VVV 8 Cylinders - 97A80VVV
Stock Number:
Year:
Make:
Model:
Trim:
Vin:
Mileage:
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 Symmes Auto Sales 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://symmesautosales.com/privacy for more information.
Submit Credit App