DAYLEE Chevrolet
 6750 NC 30
 Bethel, NC 27812
 Google Map (New Window)
 1-800-852-1130
 info@dayleechevrolet.com

 Sales
 Mon-Fri 8a-6p
 Saturday 9a-1p
 Parts/Service
 Mon-Fri 8a-5p
Credit Application
 

Please click the link below to print out and
Fax your credit applicaiton to Daylee Chevrolet.

You may fax your credit application to the number below:
252-825-0440

or you may fill out the credit applicatin below

   Daylee Chevrolet Credit Application

APPLICANT COMPLETES THIS SECTION
LAST NAME OR BUSINESS NAME                                       DATE OF BIRTH (MM/DD/YY)
                        / /
FIRST NAME                                                                        MI                                            
                                                     
SOCIAL SECURTIY NUMBER or (TAX ID)
PO BOX NUMBER               CURRENT STREET NUMBER          CURRENT STREET NAME
                                   
CITY                                                       STATE                        ZIP CODE
                             
(AREA CODE)             HOME PHONE                                   
- -           



MTC PAYMENT OR RENT
TIME AT ADDRESS
EMPLOYED BY or TYPE OF BUSINESS                 OCCUPATION
        
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
(AREA CODE)          BUSINESS PHONE                  
- -        
GROSS ANNUAL INCOME (ALL SOURCES)
TIME EMPLOYED
yrs. mos.

CO-APPLICANT COMPLETES THIS SECTION
LAST NAME OR BUSINESS NAME                                       DATE OF BIRTH (MM/DD/YY)
                        / /
FIRST NAME                                                                        MI                               
                                                     
SOCIAL SECURTIY NUMBER or (TAX ID)
PO BOX NUMBER               CURRENT STREET NUMBER          CURRENT STREET NAME
                                   
CITY                                                       STATE                        ZIP CODE
                             
(AREA CODE)          HOME PHONE                                 
- -           


 MTC PAYMENT OR RENT
TIME AT ADDRESS
EMPLOYED BY or TYPE OF BUSINESS                 OCCUPATION
        
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
(AREA CODE)          BUSINESS PHONE                  
- -       
GROSS ANNUAL INCOME (ALL SOURCES)
TIME EMPLOYED
yrs. mos.

SIGNATURE AND PRIVACY STATEMENT
APPLICANTS SIGNATURE *                                                         DATE * (MM/DD/YY)
                / /
CO-APPLICANTS SIGNATURE *                                                    DATE * (MM/DD/YY)
                / /

* Required

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. I also accept the terms of the Privacy Policy.

 

 

  

© MMV DAYLEE --- A Ride Of A Lifetime --- 1-800-852-1130

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