Shields Auto Center Credit Application

Bad credit, no credit, divorce, repossession, medical bills? Not a problem. At Shield Automart we are here to help you with all your financial arrangements when you purchase your next new or preowned vehicle.

Whether you're financing or leasing our experts will help you find the best financial package in a professional and timely manner. Our finance department will help you get flexible terms and competitive rates.


First name:
Middle name:
Last name:
Date of birth:
Social Security No.:		Day Phone:
E-mail:		Evening Ph:

Address:
City:
State:		Zip:
How long at address:	Years	Months
Previous Address:
City:
State:		Zip:
How long at address:	Years	Months


Employer:
Address:
City:
State:		Zip:
Occupation:
How long:	Years	Months
Monthly Income:
Previous Employer:
Address:		Years
Previous Employer:
Address:		Years


Let us reserve a date and time that you can come in to talk about your new vehicle.		Best time to call:
		Appointment desired:
		Set appointment:
		Appointment time:

Enter any additional comments here:

* In order to qualify for one of our many credit programs, we'll need your social security number to run a credit check. If you proceed with the questions above and submit your information above by clicking on the 'submit' button, you are thereby giving your consent for our dealership to obtain a consumer credit report.