We're a proud member of the National Independent Automobile Dealers Association.
8 W. Ridgeway St., Clifton Forge, Va. 24422 - (540) 862-7350 - (Fax) 540-863-0481
* * * * *
Great Warranties, Fine Cars, Great Deals!
Chartwell Motors provides its customers with a Free Autocheck vehicle history report.

 
Chartwell Motors Credit Form
Apply for credit online with this form!
For your convenience, we have provided the following short credit form. Make sure to fill in all the necessary data. A representative of our company will contact you soon! Thank you.

(Fields marked with * are required information)

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* Vehicle Of Interest & Stock Number Please!
* What Monthly Payment Can You Afford?
* If Your Trade Is Your Downpayment....Give Us Details Below
Make: Model:
Mileage: VIN #:
* Balance Owed On Trade: $
* What Downpayment Can You Afford? $
* Name:
* SSN#:
* Address: (physical address needed,
No P. O. Boxes!)
* City:
* State:
* Zip:
* Cell Phone:
Other Phone:
* Email:
 
 
Own home outright Buying home
Living with relatives Renting/ Leasing
 
Time at Residence:
 
Education Level:
(if under 27)
4 Year College Grad. 2 Year College Grad.
Special Training Some College


High School Graduate? YesNo

 
* Current Employer:
* Current Employer's
Address:
* Applicant's Occupation:
* Time at Current Job:
* Work Phone:
* Gross Salary:
Other Income:
* Name of Bank:
Type of Account:
Checking & Savings Saving Only
Checking Only No Account
 
Have you ever had a car or other merchandise repossessed?
YesNo
Have you ever filed bankruptcy?
YesNo


Do you intend to apply for JOINT credit? YesNo

* I (we) have read the Privacy Statement and fully understand its terms.
* By submitting this credit application I authorize Chartwell Motors to check my credit which includes pulling statements from the Credit Bureau and other credit reporting agencies.
 

 

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