Get Approved

You are probably already qualified to buy a vehicle. Your approval is based on our ability to verify your identity, place of residence, and your income. Past credit history is not considered. We make all the financing decisions at the car lot. We do not have to rely on an outside finance company approval.
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Application Information

Choose Your Closest Regal Location  
Application Type:  
Type of application:  
If you are applying with a joint application, please have the cosigner complete the form after the primary applicant has hit Submit.  

Contact Information

Email Address:  
(Area Code) Daytime Phone:   (Area Code) Evening Phone:  
How would you like to be contacted?   Best time to contact you:  

Identification

First Name:  
Middle Initial  
Last Name:  
Date of Birth: Month  
Date of Birth: Day  
Date of Birth: Year  
Social Security Number:  


Address Information

Address:   City:  
State:   Zip:  
How long at your current residence? Years   Months  
Do you rent or own?   Do you live with others?  
Mthly rent/mtg:  
Landlord or Mortgage Co:   Phone Number:  
If less than 2 years - please complete previous history information below.  
Previous Address:   Previous City  
Previous State:   Zip:  
How long at previous residence? Years   Months:  

Employment History

Current Employer:   Net Monthly Income:  
Position/Occupation:   Phone:  
Address   City:  
State:   Zip:  
Job Length? Years   Job Length Months  

If less than 2 years - please complete previous history information below.  
Previous Employer:   Phone  
Address   City  
State   Zip:  
Previous Job Length Years   Previous Job Length Months  

Previous Employer:   Phone:  
Address:   City:  
State:   Zip:  
Previous Job Length? Years   Previous Job Length Months  

Questionnaire

Other Monthly Income - $:   Source of other income (disability, alimony, child support):  
Bank Name   Branch Office:  
Account Type:  
Education:  
Have you ever filed for bankruptcy?   If yes, when:  
Have you ever had a car or other merchandise repossessed?   If yes, when:  

Personal References:


Personal Reference   Relationship  
Address   City and State  
Zip:   Phone  

Personal Reference   Relationship:  
Address   City and State:  
Zip:   Phone:  

Personal Reference   Relationship:  
Address   City and State:  
Zip:   Phone:  

Credit Report Authorization

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.  

Credit Check:  
(Initial here) *required  

** If you ‘Authorized’ a credit check, please make sure you have completed Date of Birth and Social Security Number boxes. **  

  • Approval based on lender criteria, Not all customers will qualify.

Read our privacy notice - which discloses the privacy practices for Regal Car Sales and Credit. This privacy notice applies solely to information collected by this web site.

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