636 Tiogue Ave
Coventry, RI 02816
401-822-2222
Site Menu
Inventory
All Inventory
Motorcycles
Campers
Visit Us
Testimonials
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:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Social Security:
Date of Birth:
Drivers License Number:
Drivers License State:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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:
Monthly Income:
Occupation:
Address 1:
Address 2:
City:
State:
AL
AK
AZ
AR
BC
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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
2015 Harley-Davidson XL1200X 48 Blue Select Select 5 Speed Motorcycle 1200CC Gasoline P-1521 2 Cylinders - P-1521
2014 Harley-Davidson FLHR Black RWD Leather Select Motorcycle 1690CC Gasoline A-34 0 Cylinders - A-34
2013 MINI Coupe Base Cream FWD Leather Automatic Hatchback 1.6L L4 DOHC 16V TURBO Gasoline A-75 4 Cylinders - A-75
2013 Harley-Davidson XL1200C Black RWD Leather 5 Speed Motorcycle 1200CC Gasoline A-67 2 Cylinders - A-67
2013 Chrysler Town & Country Touring Black FWD Leather Automatic Van-Minivan 3.6L V6 DOHC 24V Gasoline A-78 6 Cylinders - A-78
2012 MINI Cooper S TURBO Orange FWD Leather 6 Speed Manual Hatchback 1.6L L4 DOHC 16V TURBO Gasoline A-79 4 Cylinders - A-79
2012 MINI Cooper Convertible Orange FWD Leather Automatic Convertible 1.6L L4 DOHC 16V TURBO Gasoline A-76 4 Cylinders - A-76
2012 Harley-Davidson XL1200C Silver RWD Leather 5 Speed Motorcycle 1200CC Gasoline A-68 2 Cylinders - A-68
2012 Ford Econoline E-150 Black RWD Vinyl Automatic Van-Minivan 4.6L V8 SOHC 16V Flex Fuel A-72 8 Cylinders - A-72
2012 Chevrolet Silverado 1500 LT Ext. Cab Long Box 4WD White 4WD Cloth Automatic Truck 5.3L V8 OHV 16V FFV Flex Fuel A-52 8 Cylinders - A-52
2012 Cadillac Escalade ESV AWD Black AWD Leather Automatic SUV 6.2L V8 OHV 16V FFV Flex Fuel A-15 8 Cylinders - A-15
2011 Cadillac CTS 3.0L Luxury AWD Pearl White AWD Leather Automatic Sedan 3.0L V6 DOHC 24V Gasoline A-58 6 Cylinders - A-58
2010 Jaguar XF-Series R Pewter RWD Leather 6 Speed Automatic Sedan 5.0L V8 DOHC 32V SUPERCHARGED Gasoline A-29 8 Cylinders - A-29
2010 Harley-Davidson FXDWG Black RWD Leather Select Motorcycle 1584CC Gasoline A-20 0 Cylinders - A-20
2010 Ford Explorer Eddie Bauer 4.0L 4WD Red 4WD Leather Automatic SUV 4.0L V6 SOHC 16V Gasoline A-82 6 Cylinders - A-82
2009 Harley-Davidson XL1200N Black Select Leather Select Motorcycle 1200CC Gasoline A-10 2 Cylinders - A-10
2009 Harley-Davidson FLHX Brown RWD Select 6 Speed Motorcycle 1584CC Gasoline P-1498 2 Cylinders - P-1498
2009 Harley-Davidson FLHTCU Root Beer Pearl RWD Leather 6 Speed Motorcycle 1584CC Gasoline A-63 2 Cylinders - A-63
2008 Jeep Liberty Limited 4WD Silver 4WD Leather Automatic SUV 3.7L V6 SOHC 12V Gasoline A-90 6 Cylinders - A-90
2008 HUMMER H3 Base Black 4WD Leather Automatic SUV 3.7L L5 DOHC 20V Gasoline A-86 5 Cylinders - A-86
2008 Harley-Davidson FLHRSE Blue Select Select 6 Speed Motorcycle 1800CC Gasoline P-1505 0 Cylinders - P-1505
2007 Mercedes-Benz S-Class S550 White RWD Leather 7 Speed Automatic Sedan 5.5L V8 DOHC 32V Gasoline p-15678 8 Cylinders - p-15678
2006 HUMMER H3 Sport Utility Pewter 4WD Cloth Automatic SUV 3.5L L5 DOHC 20V Gasoline A-87 5 Cylinders - A-87
2006 HUMMER H2 SUV Blue 4WD Leather Automatic SUV 6.0L V8 OHV 16V P-1536 8 Cylinders - P-1536
2006 Ford F-350 SD XL Crew Cab Long Bed 2WD DRW Black 2WD Cloth Automatic Truck 6.0L V8 OHV 32V TURBO DIESEL Diesel A-12 0 Cylinders - A-12
2006 Ford F-150 FX4 SuperCab 5.5-ft Box Black AWD Leather Automatic Truck 5.4L V8 SOHC 16V Gasoline A-36 8 Cylinders - A-36
2005 Dodge Ram 2500 Power Wagon Quad Cab 4WD Black 4WD Leather Automatic Truck 5.7L V8 OHV 16V Hemi Gasoline A-32 8 Cylinders - A-32
2004 Ford F-150 STX Flareside 4WD Yellow 4WD Cloth Automatic Truck 4.6L V8 SOHC 16V Gasoline A-85 8 Cylinders - A-85
2003 HUMMER H2 Sport Utility Yellow 4WD Leather Automatic SUV 6.0L V8 OHV 16V Gasoline P-1535 8 Cylinders - P-1535
2003 HUMMER H2 Luxury Green 4WD Leather Automatic SUV 6.0L V8 OHV 16V Gasoline P-1470 8 Cylinders - P-1470
2003 Harley-Davidson Electra Glide silver & black Select Select 6 Speed Motorcycle 1340cc Gasoline P-1379 2 Cylinders - P-1379
2001 Lexus RX 300 4WD White 4WD Leather Automatic SUV 3.0L V6 DOHC 24V Gasoline A-81 6 Cylinders - A-81
2000 Honda GL1500SE Red Select Select Select Motorcycle 1520CC Gasoline P-1506 0 Cylinders - P-1506
2000 Harley-Davidson FLSTC Green Select Leather 5 Speed Motorcycle 1450CC Gasoline A-4 2 Cylinders - A-4
2000 Ford Econoline E-250 Extended White RWD Leatherette Automatic Van-Minivan 5.4L V8 SOHC 16V Gasoline P-1576 8 Cylinders - P-1576
1999 Harley-Davidson FLSTC Maroon RWD Leather 5 Speed Manual Motorcycle 1340CC Gasoline A-64 2 Cylinders - A-64
1999 Ford F-350 SD Lariat Reg. Cab 4WD Red 4WD Cloth Automatic Truck 7.3L V8 OHV 16V TURBO DIESEL Diesel A-84 8 Cylinders - A-84
1997 Harley-Davidson FLSTC Blue RWD Leather Select Motorcycle 1340CC Gasoline A-35 0 Cylinders - A-35
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.
Submit Credit App