*Please note that when you get to the birthday tab you click on it to open it up and then click on the year (Upper left corner) to change the year rather than scrolling backwards in the main menu.

* Required Field  
Type of Application *
APPLICANT INFO
Stock Number or Unit of Interest
First Name *
Middle Initial
Last Name *
Date of Birth *
Social Security Number / Social Insurance Number *
(Ex: 123-45-6789)

Driver's License Number *
Email *
Cell Phone
(Ex.: 123-456-7890)

Home Phone *
(Ex.: 123-456-7890)

Address *
City *
State *
Zip Code *
HOUSING INFO
Residence *
Mortgage Holder / Landlord *
Monthly Payment *
Mortgage Balance
Market Value
Years at this Address (years / month) *
Previous Address
(If at current address less than 3 years)
EMPLOYMENT INFO
Employer *
Address *
City *
State *
Zip Code *
Employer Phone *
(Ex.: 123-456-7890)

Length of Employment *
Position *
Gross Monthly Income *
Other Monthly Income
Other Income Source *
(Alimony, Child Support, or Separate Maintenance Income need not be revealed if you do not wish to have it considered as a Basis for repaying this obligation)

Self Employed
Primary Banking *
Monthly Child Support/Alimony Paid
Previous Employer
(If less than 2 years at current employer)
Previous Position
Previous Employer Phone
(Ex.: 123-456-7890)

Length of Employment
Address
City
State
Zip Code
TRADE-IN INFO
Year
Manufacturer
Model
Mileage
Pay-off Amount
TERMS AND DISCLOSURES

I represent that all information contained in this application for credit is true, complete and correct. I have listed all of my debts on this application and understand that you will rely on the truth of the foregoing statements in granting credit to me. I authorize you, in determining my eligibility for credit, renewal of credit, and future credit extensions, to verify my employment, income and all other information I have provided, and obtain information about me from credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. I also authorize you to furnish to other persons, upon request, information concerning my credit and financial transactions or experiences with the bank. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.


BY SIGNING, YOU CERTIFY THAT YOU HAVE READ AND AGREE TO THE TERMS AND DISCLOSURES OF THIS APPLICATION.

I agree*    I disagree
 
Business Info Toggle
Location

3250 Ward Dr. N.E.
Salem, OR 97305
Take I-5 Exit #258

Phone

Toll Free: (877) 233-6857
Local: (503) 610-5445
Fax: (503) 393-3067

Hours

Dealership
Mon - Fri: 9:00am - 6:00pm 

Sat: 9:00am -  5:00pm

Sun: 11:00am - 4:00pm 

Service
Mon - Fri: 9:00am - 5:00pm

Parts
Mon - Fri: 9:00am - 6:00pm 

Sat:  9:00am - 5:00pm

Sun: Closed

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