Request Financing

Please fill out this SECURE credit application to get pre-approved through one of our many competetive lenders, one of our friendly sales consultants will contact you promptly.  If you require any assistance or have any questions, please call us at (904) 771-6078.

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Loan Information

* Applicant Type:
Amount Required:
* Down Payment: Trade-In:

Additional Information

Message Text:

Vehicle Information

Year: Miles:
Make: VIN:
Model:
* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Ray Carter Kia
6373 Blanding Blvd
Jacksonville, FL 32244
Toll Free: (800) 397-0627
Email: Contact Us
Fax: (904) 573-5811
Local Phone: (904) 771-6078
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