At Kelsey's Auto Sales we are dedicated to helping you finance a vehicle. Simply fill out the credit application below and click the "Send Information" button at the bottom of this page. We will process your application and someone from our office will contact you as soon as possible. If you prefer, you may also contact us through traditional methods.

***All fields, except Email Address,  must be completed for the information to be processed.***

What Vehicle Are You Applying For?
Year: Type:
Make: Model:
Personal Information
First Name: Last Name:
Date Of Birth:
(mth/day/yr)		 Mailing Address:
Phone: Time @ Address:
(Yrs/Mnths)
Postal Code: S.I.N. #
Married:Yes No Email Address:

Spouse's Personal Information
First Name: Last Name:
Date Of Birth:
(mth/day/yr)		 Mailing Address:
Phone: Time @ Address:
(Yrs/Mnths)
Postal Code: S.I.N. #
Married: Yes No Email Address: 
       
Financial Information
Occupation:
Employers Name: Time @ Job:
(Yrs/Mnths)
Employers Phone: Gross Monthly Income: (before tax)
Rent / Own: Landlord / Finance Institution:
Rent Per Month: Mortgage Per Month:
Have You Declared Bankruptcy? Yes No Discharge Date:
Name of Trustee.
(if no discharge)		 Number of Trustee:
(if no discharge)
       
Spouse's Financial Information
Occupation:
Employers Name: Time @ Job:
(Yrs/Mnths)
Employers Phone: Gross Monthly Income: (before tax)
Rent / Own: Landlord / Finance Institution:
Rent Per Month: Mortgage Per Month:
Have You Declared Bankruptcy? Yes No Discharge Date:
Name of Trustee.
(if no discharge)		 Number of Trustee:
(if no discharge)


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