Sullivan-Parkhill Automotive

Finance Pre-Qualify Form

Thank you for taking the time to submit the following Pre-Qualification Form.  If you would also like to contact us direct, please call us at: (877) 273-9523. 


Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Current 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

* Current Employer:
* Position:
* Gross Income:
* Time on Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Loan Information

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

Desired Vehicle

Year: Miles:
* Make/Model: VIN:
Trade In/Payoff Amount:

Additional Information

Message Text:
* These fields are required
I acknowledge and declare that I have read and agree with the terms and conditions of the Privacy Policy View Privacy Policy
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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Sullivan Parkhill Automotive | Your Champaign Chevrolet and Cadillac dealership | Home page
Sullivan-Parkhill Automotive
440 West Anthony Drive
Champaign, IL 61821
Phone: (877) 273-9523
Email: Contact Us
Fax: (217) 352-4697
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