Farmerville Motors
The People Place
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Thank you for taking the time to contact Farmerville Motors!  We look forward to serving you for all of your automotive needs!  We are ready to answer your questions and help you with your concerns. 

Please fill out the form below and we will respond to you as soon as possible.  

If your request is submitted during non business hours, we will contact you promptly the next business day.

Thank you!



Loan Information

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

Vehicle Information

Year: Miles:
Make: VIN:
Model:

Employment Information

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

Other Income

Source: Monthly Income:

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:

Additional Information

* Nearest relative not living with you (Name & Add.):
* 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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Farmerville Motors | serving Farmerville, Ruston and Monroe | Home

Farmerville Motors
1001 Sterlington Highway
Farmerville, LA 71241
Phone: (318) 608-4290
Email: Contact Us
Fax: (318) 368-3437
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