405 Route 519
Eighty Four, PA 15330
724-228-5550
Site Menu
Inventory
All Inventory
Sold Inventory
Visit Us
Reviews
Services
Value Your Trade-In
Vehicle Finder
Our Store
About Us
Contact Us
Meet Our Staff
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
2013 Ford F-150 4WD SuperCab 145" Lariat Silver 4WD Cloth Automatic Truck 5.0L V8 FFV ENGINE Gasoline 36350 8 Cylinders - 36350
2013 Chevrolet Silverado 1500 4WD Ext Cab 143.5" LT Silver 4WD Cloth Automatic Truck VORTEC 5.3L VARIABLE VALVE TIMING V8 SFI FLEXFUEL WITH ACTIVE FUEL MANAGEMENT Gasoline 06758 8 Cylinders - 06758
2013 Chevrolet Silverado 1500 4WD Ext Cab 143.5" LT Black 4WD Cloth 4 Speed Automatic Truck VORTEC 5.3L VARIABLE VALVE TIMING V8 SFI FLEXFUEL WITH ACTIVE FUEL MANAGEMENT Gasoline 43427 8 Cylinders - 43427
2012 Volkswagen Jetta Sedan 4dr Auto SE w/Convenience & Sunroof PZEV Black FWD Leather Automatic Sedan 2.5L DOHC SMPI I5 PZEV engine Gasoline 62755 5 Cylinders - 62755
2012 Honda CR-V AWD 5dr EX-L Black AWD Leather Automatic Wagon 2.4L DOHC MPFI 16-valve i-VTEC I4 engine Gasoline 34845 4 Cylinders - 34845
2012 Chevrolet Silverado 1500 4WD Ext Cab 143.5" LT Gray 4WD Cloth Automatic Truck VORTEC 5.3L VARIABLE VALVE TIMING V8 SFI FLEXFUEL WITH ACTIVE FUEL MANAGEMENT Gasoline / Natural Gas 37439 8 Cylinder - 37439
2012 Chevrolet Malibu 4dr Sdn LT w/1LT Silver FWD Cloth Automatic Sedan Engine, ECOTEC 2.4L DOHC, 16-valve, 4-cylinder Variable Valve Timing MFI uses gasoline only (169 hp [126.0 kW] @ 6400 rpm, 160 l - 382669
2010 Buick Lucerne 4dr Sdn CXL Premium Silver Sedan Engine, 3.9L V6 SFI FlexFuel capable of running on unleaded or up to 85% ethanol (227 hp [163.9 kW] @ 5700 rpm, 237 lb-ft of torque [321.1 N-m] @ - 29767
2009 Ford Focus 4dr Sdn SE Gray FWD Cloth Automatic Sedan 2.0L DOHC 16-valve I4 Duratec engine Gasoline 55681 4 Cylinders - 55681
2009 Chevrolet TrailBlazer 4WD 4dr LT w/1LT Blue 4x4 Cloth Automatic Wagon Engine, Vortec 4.2L I6 SFI with transmission oil cooler (285 hp [212.5 kW] @ 6000 rpm, 276 lb-ft of torque [372.6 Nm] @ 4600 - 16951
2008 Hyundai Accent 3dr HB Man GS Black FWD Cloth Automatic Hatchback 1.6L DOHC MPI CVVT 16-valve I4 engine Gasoline 96412 4 Cylinders - 96412
2008 Ford Focus 4dr Sdn SES Blue FWD Cloth Automatic Sedan 2.0L DOHC 16-valve I4 Duratec engine Gasoline 38517 4 Cylinders - 38517
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 I hereby consent to receive customer care text messages and/or phone calls from or on behalf of Eighty-Four Auto Sales or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our https://84autosales.com/privacy for more information.
Submit Credit App
Text Us
Text us
×
Close
First Name
Last Name
Mobile Phone
Comments
ACKNOWLEDGMENT AND CONSENT:
By checking this box I hereby consent to receive customer care text messages and/or phone calls from or on behalf of Eighty-Four Auto Sales or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our https://84autosales.com/privacy for more information.