Timber Ford & Mercury
Fresh Start Financing
Credit Application

All information is transmitted through our secure server, ensuring your private data is kept safe. Your name and information will not be sold to any third party under any circumstances. Click here for a loan calculator.

Contact Information

First Name:    Middle Initial:    Last Name:

Current Address:

City:    State:    Zip:

Home Phone #:    Alt. Phone #:

Email Address:    Pre-approval Amount (if known):

Credit Information

Social Security #: - -    Date of Birth:    

   Mortgage or Rent Payment: $    Time at Residence:

Previous Address (if less than 2 years):

City:    State:    Zip:

Have you filed for bankruptcy in the past 12 months?             YES   NO
If yes, has your bankruptcy been discharged?                         YES   NO
Have you had an automobile repossession in the past 12 months?      YES   NO

Employment History

Employer:    Occupation:

Gross Monthly Income: $    Time Employed:

Previous Employer (if less than 2 years):

Trade-in Vehicle Information

Year    Make:    Model:    Mileage:

Current Payment:    Lien Holder:    Payoff Amount:

Desired Vehicle Information

Year    Make:    Model:    Color:

Monthly Payment Target: Additional Features:

Additional Comments






By clicking this button, you certify that all of the statements in this application are true, complete, and are made for the purpose of obtaining credit. You authorize Timber Ford & Mercury to share this application and related information with its lending partners in order to complete the processing of your credit history. You authorize Timber Ford & Mercury and its lending partners to retain and rely on this application, and to obtain additional information including credit reports. If you have any questions about this policy, you should contact Timber Ford & Mercury before submitting your application.