1018 W North Blvd
Leesburg, FL 34748
352-787-4006
Site Menu
Inventory
Financing
Apply Online
Loan Calculator
Visit Us
Services
Value Your Trade-In
Vehicle Finder
Our Store
About Us
Meet Our Staff
Testimonials
Contact Us
Privacy Policy
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
2018 Ford Focus SE Hatch GRAY FWD Automatic Hatchback 2.0L Gasoline 238548 4 Cylinders - 238548
2017 RAM 1500 SLT Quad Cab 2WD GRAY RWD Cloth Automatic Truck 5.7L Gasoline 576474 8 Cylinders - 576474
2017 Ford Focus SEL Sedan BLACK FWD Automatic Sedan 2.0L Gasoline L275156 4 Cylinders - L275156
2017 Ford Focus SE Sedan GRAY FWD Automatic Sedan 2.0L Gasoline 221345 4 Cylinders - 221345
2017 Dodge Grand Caravan SE GRAY FWD Cloth Automatic Van-Minivan 3.6L Gasoline 834872 6 Cylinders - 834872
2016 Jeep Patriot WHITE FWD Continuously Variable SUV 2.0L Gasoline 640626 4 Cylinders - 640626
2016 Ford Focus SE Sedan SILVER FWD Automatic Sedan 2.0L Gasoline 279433 4 Cylinders - 279433
2016 Dodge Dart SE GRAY FWD 6-Speed Manual Sedan 2.0L Gasoline 516578 4 Cylinders - 516578
2015 RAM 1500 Tradesman Crew Cab SWB 2WD WHITE RWD Automatic Truck 5.7L Gasoline 554248 8 Cylinders - 554248
2015 Ford Fiesta SE Sedan SILVER FWD Automatic Sedan 1.6L Gasoline M108381 4 Cylinders - M108381
2015 Ford Expedition Limited 2WD GRAY RWD Automatic SUV 3.5L Gasoline F30840 6 Cylinders - F30840
2015 Dodge Dart SILVER FWD Automatic Sedan 2.4L Gasoline FD309681 4 Cylinders - FD309681
2015 Buick Enclave Premium FWD SILVER FWD Automatic SUV 3.6L Gasoline 342674 6 Cylinders - 342674
2014 Chrysler Town & Country Touring RED FWD Leather Automatic Van-Minivan 3.6L Gasoline 256587 6 Cylinders - 256587
2012 Jeep Grand Cherokee WHITE RWD Automatic SUV 5.7L Gasoline C362464 8 Cylinders - C362464
2012 GMC Acadia SLT-1 FWD GOLD FWD Automatic SUV 3.6L Gasoline J203694 6 Cylinders - J203694
2011 Buick LaCrosse CXL FWD BROWN FWD Automatic Sedan 2.4L Gasoline 397376 4 Cylinders - 397376
2010 Jeep Grand Cherokee Laredo 4WD RED 4WD Automatic SUV 5.7L Gasoline 122975 8 Cylinders - 122975
2009 Chevrolet HHR LT2 GOLD FWD Automatic Van-Minivan 2.4L Gasoline 9S584827 4 Cylinders - 9S584827
2008 Ford F-150 FX4 SuperCrew BLACK 4WD Automatic Truck 5.4L Gasoline A17489 8 Cylinders - A17489
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, you expressly consent to receive customer care text messages and/or phone calls to the number provided from or on behalf of EZ Auto Sales Of Lake County or their employees in response to your inquiry. By opting in, you understand no mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Message frequency varies per user. Message and data rates may apply. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our
Privacy Policy
for more information.
Submit Credit App