525 Happy Valley Rd.
Glasgow, Kentucky 42141
Buy Here Pay Here Car Dealer
Credit Application

Filling out this form will speed up the process and possible lower your payment

Buyer Name
Buyer Cell Phone#
Buyer Email
Date / Time
Buyer Date of Birth
Buyer Address
Buyer Employer
Buyer Phone#
Buyer SS#
Buyer Landlord Name
Co Buyer Name
Co Buyer Employeer
Co Buyer SS#
Co Buyer Date Of Birth
Co Buyer Phone#
Co Buyer Cell Phone#
Buyer Income Total
Co Buyer Income Total
Buyer Total Mo Liabilities
When Does Customer Get Paid
Has Customer Purchased From A BHPH before, if So Where?
Amt Customer Can Do
Trade Ins?
Disclaimer: All advertised prices exclude government fees and taxes, any finance charges, any dealer document preparation charge, and any emission testing charge. Vehicle availability is not guaranteed and subject to prior sale. All vehicle details advertised are true to our best knowledge, but not guaranteed. It is the customer's sole responsibility to verify the existence and condition of any equipment listed. The dealership is not responsible for misprints on prices or equipment. It is the customer's sole responsibility to verify the accuracy of the prices with the dealer. Pricing are subject to change without notice. Any advertised down, monthly, bi-weekly, and weekly payments are estimated examples and / or approximate payments only and subject to credit check and approvals.