Use this form to apply for financing. Fields marked with an * are required.
Personal Information
First Name*
Last Name*
Date of Birth*
Socal Security #*
Drivers License #*
DL State Issued*
DL Experiation Date*
Phone Number*
E-mail*
Residence Information
Address*
City*
State*
ZIP*
Time at Residence* Years Months
Type of Residence
Rent/Mortgage Amount* $
If less than 2 years, please enter your previous residence information:
Address*
City*
State*
ZIP*
Time at Residence* Years Months
Employment Information
Employer*
Occupation*
City/State/ZIP*
Employer Phone*
Time Employed* Years Months
Income
  You do not need to include alimony, child support, and separate maintenance income in your gross monthly income unless you want them considered as basis for repaying this credit.
Gross Monthly Income*
Vehicle/ Finance Information
Year*
Make*
Model*
   
Signature*
Date*
 

By submitting this credit application, I verify that the information provided is complete and accurate to the best of my knowledge. I further authorize an investigation of my credit and employment history.

Your IP address "38.103.63.16" will be logged upon submission.

 
   
2615 Lakeland Hills Blvd.   -   Lakeland, FL   -   33805   -   (863) 687-8000
 

Home | New Vehicles | Pre-Owned Vehicles | Financing | Parts/Service Dept | Company | Hours & Directions | Contact Info | Site Map | Privacy Policy

Copyright 2008. Regal Automotive Group. All Rights Reserved.
2615 Lakeland Hills Blvd. - Lakeland, FL 33805

Regal Lakeland - Regal Acura - Regal Honda - Regal GMC - Regal Jeep - Regal Pontiac

Disclaimer:
Some vehicles shown this site are shown with optional equipment. See the actual vehicle for complete accuracy of features, options & pricing. Because of the numerous possible combinations of vehicle models, styles, colors and options, the vehicle pictures on this site may not match your vehicle exactly; however, it will match as closely as possible.Some vehicle images shown are stock photos and may not reflect your exact choice of vehicle, color, trim and specification. New Vehicle Inventory is a Virtual Inventory and vehicles may not actually be in dealers inventory but are available from manufacture.

We serve the following areas:

Auburndale Bartow Davenport Dundee Eagle Lake Fort Meade Frostproof Haines City Highland Park Hillcrest Heights Lake Alfred Lake Hamilton Lake Wales Lakeland Mulberry Polk City Winter Haven Tampa Orlando