You can have the ease of convenience with peace of mind using our secure, encrypted, online finance pre-qualification form.  Your privacy is as important to us as it is to you.  Because of the increasing presence of identity theft in today's marketplace we strongly discourage you from giving your private credit information, such as social security numbers, over unsecured cell-phone lines.  If you have any questions about using this secure form, please contact our Director of Finance, Jon Smith at jmsmith@germain.com or call him at 614-793-1990.  As with any of our online services, your information is never sold or distributed to other companies.

What are your financing needs?

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Which vehicle will you be purchasing?

* Year: * Mileage:
* Make: VIN:
* Model:

Who is your employer?

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Do you have other sources of income?

* Source: * Monthly Income:

What other relevant data can you provide?

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Social Security No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

What other questions do you have?

* Questions:

How can we reach you?

* First Name: * Last Name:
* Email: * Preferred Phone:
* ZIP Code:
* These fields are required
I acknowledge and declare that I have read and agree with the terms and conditions of the Privacy Policy View Privacy Policy
* In submitting this credit application, I/We certify that the information provided on this application is, to the best of my/our knowledge, complete and accurate. I/We understand that the Dealer and financial institution(s) will rely on this information to judge my/our credit worthiness, and will retain this application and information about me/us whether or not this application is approved.

Further, I/We authorize an investigation of my/our credit and employment history, in conjunction with which my/our credit report(s) may be obtained from one or more consumer credit reporting agencies. I/We understand that false statements may subject me/us to criminal penalties. I/We further understand that the Dealer and/or the financial institution(s) that evaluate my/our application may require additional information.

FAIR CREDIT REPORTING ACT DISCLOSURE: I/We understand that this application for credit will be submitted by the dealer to various financial institutions for evaluation. Before this application is submitted, the Dealer will disclose to me the name and addresses of each institution that will receive copies of this application.


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