Guaranteed Credit Approval

Submit your general info below to get Approved!

If you have been turned down due to Bankruptcy, Repossession, Credit Problems or No Credit, Kingston Nissan can offer you the credit you deserve!

Kingston Nissan is partnered with a financial service company specializing in products and services for consumers with limited access to credit and delivers credit approvals within 30 seconds through the internet. Since we don’t use a typical FICO score to assess credit worthiness, your “past credit history” is not a factor.

Through our financing program, we help consumers change their lives by providing them an opportunity to establish or reestablish their credit standing by making timely monthly payments on their financed vehicle. Under our program, a customer who does not qualify for conventional automobile financing can purchase a used vehicle from us and finance the purchase.

You may contact us by filling out this form or call 845-943-4676 or visit us at the dealership. We’re changing lives for those with credit needs, don’t wait to change yours!

This form is securely submitted through an HTTPS form action under a high-grade encryption. All of the data that you enter is encrypted before ever leaving your computer to ensure the highest level of security.

Bold fields are required.

General Information

General Information

Please enter your full email address, for example, name@domain.com

It is important that you provide a valid, working email address that you have access to.

Please verify that all of your information is correct. This will minimize any delays in your credit approval.

Your information is intended for our use only and is protected by our Privacy Policy.

First Name:

Middle Initial:

Last Name:

Email:

Day Phone:

Evening Phone:

Mobile Phone:

Address:

City:

State: Select a State ---------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Dis. of Columbia

Zip Code:

How to Contact You?

Phone Email

Date of Birth: Ex: MM/DD/YYYY

Social Security #: Ex: 000-00-0000

Driver's License#:

Mother's Maiden Name:

Time at Residence: Number of Years ------------- Less Than a Year 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12+ Years Number of Months ------------- Less Than a Month 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months

Do You Rent or Own?

Rent Own

Rent/Mortgage: $

Vehicle Information

Vehicle Information

The Amount Down is the money you wish to put towards the price of your new vehicle to lower the monthly payments.

The Amount Needed is the approximate amount you will be needing to finance.

Check the LEASE button if you want lower monthly payments and would like to return your vehicle at a specified time.

Check the FINANCE button if you are looking to own your new vehicle by making monthly payments on the final purchase price.

Amount Down: $

Amount Needed: $

Lease or Finance?

Lease Finance Not Sure

Trading in Vehicle?

Yes No

Make:

Model:

Year:

Employment Information

Employment Information

Enter your current Employment information.

Employer's Name:

Employer's Phone:

Employer's Address:

Your Occupation:

Time Employed: Number of Years ------------- Less Than a Year 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12+ Years Number of Months ------------- Less Than a Month 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months

Additional Information

Additional Information

If you have any additional comments or questions please let us know.

Gross Annual Income:

Sources of Other Income?

Part-time Child Support None

Banks Name:

Accounts Held?

No Bank Accounts Savings Only Checking Only

Number of Dependants:

Nearest Relative: Not Living with You

Relative Phone:

Relationship:

Your Salesperson:

Message:

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.