Purchase Application

Apply for in-house financing (Buy Here, Pay Here). Takes about 5 minutes.

Secure & encrypted - only Quick Auto staff can see this.

Applicant

Full name*

Phone number*

Date of birth*

Social Security #* encrypted

Driver license #* encrypted

Exp. date*

Street address*

City*

State*

ZIP*

Employment information

Company name*

Company phone #*

Employer address*

How long at job*

Position*

Monthly income*

Other income (optional)

Bank information

Name of bank encrypted

Branch

Type of account

Personal references

Three people we can contact who don't live with you.

Reference 1

Name

Phone #

Relationship

Years known

Reference 2

Name

Phone #

Relationship

Years known

Reference 3

Name

Phone #

Relationship

Years known

Document uploads

Photo or PDF. You can snap a picture with your phone.

Driver license (optional) private

Proof of address - utility bill (optional)

1 month pay stub (optional) private

Authorization & signature

How we use and protect your information. Quick Auto Sales collects the information on this application - including your Social Security number, driver's license, and financial details - to verify your identity, evaluate your application, and obtain a credit report and/or background report. This information is encrypted and access-restricted, and is shared only as needed with credit bureaus and service providers as described in our Privacy Policy. We do not sell your personal information.

By checking this box and signing below, I authorize Quick Auto Sales to obtain a credit report and/or background investigative report in connection with this application.*I certify that the answers given in this application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in it.*I have read and agree to Quick Auto Sales' Privacy Policy and Terms of Service.*I consent to use electronic signatures and to receive records and disclosures related to this application electronically.*I agree Quick Auto Sales may contact me by phone, text, or email about my application, including via automated messages. Consent is not a condition of purchase; message and data rates may apply.Optional

Type your full name (signature)*

Draw your signature

Sign above

Date: July 2, 2026 - added automatically when you submit.