AUTO CREDITMAX, INC.
1304 S. 12th Street, Murray, KY 42071
across from Toyota of Murray
(270) 753-2222 or (800) 618-1910

Let AUTO CREDITMAX INC. put you in the car you want and get the credit you deserve.

Fill out the form below and we'll get things started.

AUTO CREDITMAX, INC.

CREDIT APPLICATION

First Name:Mid. Init. Last Name:
Soc. Sec. No. Date of Birth:
Current Address: Rent:Own: Lived there Years Months
Number & Street: City:
State: Zip Code:
Home Telephone: E-mail address
Employer Name: Trade or Occupation:
How Long Years Months Wages or Salary (monthly) $
AS A PART OF A CONTEMPLATED TRANSACTION TO PURCHASE OR LEASE PRODUCTS AND/OR SERVICES FROM AUTO CREDITMAX, INC. THE APPLICANT HEREBY SUBMITS THE CREDIT APPLICATION FOR THE PURPOSE OF OBTAINING CREDIT FROM AUTO CREDITMAX, INC. AND/OR OTHER DESIGNATED FINANCIAL INSTITUTIONS. I HEREBY CERTIFY THAT THE INFORMATION IN MY CREDIT APPLICATION IS COMPLETE AND TRUE. I DO HEREBY AUTHORIZE ONE OR MORE OF THE DWAIN TAYLOR COMPANIES TO INVESTIGATE MY CREDIT AND EMPLOYMENT HISTORY, OBTAIN CREDIT REPORTS, AND THE RELEASE OF INFORMATION ABOUT THEIR CREDIT EXPERIENCE WITH ME AS PERMITTED BY LAW. IF AN ACCOUNT IS CREATED WITH ONE OF THE DWAIN TAYLOR COMPANIES, OR AN ACCOUNT IS ASSIGNED TO A THIRD PARTY FINANCIAL INSTITUTION WITH RECOURSE TO AUTO CREDITMAX, INC.., I AUTHORIZE THE OBTAINING OF CREDIT REPORTS FOR PURPOSES OF REVIEWING OR TAKING COLLECTION ACTION ON THE ACCOUNT OR FOR OTHER LEGITIMATE PURPOSES ASSOCIATED WITH THE ACCOUNT. I HEREBY AUTHORIZE THE RELEASE OF MY CREDIT APPLICATION TO ONE OR MORE FINANCIAL INSTITUTIONS TO BE DESIGNATED . I AGREE

In order to complete the loan processing of your auto loan application, the lenders may need the following information: