Secure Loan Application

R & R Motors
Secure Loan Application

Primary Borrower Information

Please Indicate whether you are applying for

Indicate whether you are applying for:

Individual Credit in your name Joint Credit Community Property State Business Application

Applicant Information

First Name:

MI:

Last Name:

Social Security Number:

- -

Date of Birth:

/ /

Current Address:

Apt/Suite:

P.O Box:

Rural Route:

City/Town:

Current State:

Current Zip:

Home Phone:

Cellular Phone:

Residential Status:

Homeowner Rent Family Other

Time at Address:

Years Months

Rent/Mtg. Pmt $

Email Address:

Drivers License #:

Drivers License State:

Drivers License Exp:

Previous Full Address (if less than 2 years):

Apt # / Suite #

P.O. Box:

Rural Route:

City:

State:

Zip:

Employer Name:

Employment Type:

Employed Unemployed Self Employed(no W2) Military Retired Student Other

Salary:

Salary Type:

Weekly Bi-Weekly Monthly Annualy

Occupation:

Length of Employment:

Years Months

Work Phone Number *

Previous Employer Name:

Previous Employment Type:

Employed Unemployed Self Employed(no W2) Military Retired Student Other

Previous Occupation:

Length of Employment:

Years Months

Previous Work Phone Number:

Other Income (Monthly):

Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation

Source of Other Income:

By signing , you certify that the Income entered on this Credit Application is accurate:

Type your initials

Comments:

Consent

Consent:

I consent to receive autodialed, pre-recorded and artificial voice telemarketing and sales calls and text messages from or on behalf of dealer (or any financing source to which dealer assigns my contract) at the telephone numbers provides in this credit application, including any cell phone numbers. I understand that this consent is not a condition of purchase or credit.

Initial to consent here:

Loan Application Signatures

Signature:

write your initals

Date:

/ /

Co-borrower Information

Please Indicate whether you are applying for

Indicate whether you are applying for:

Individual Credit in your name Joint Credit Community Property State Business Application

Applicant Information

First Name:

MI:

Last Name:

Social Security Number:

- -

Date of Birth:

/ /

Current Address:

Apt/Suite:

P.O Box:

Rural Route:

City/Town:

Current State:

Current Zip:

Home Phone:

Cellular Phone:

Residential Status:

Homeowner Rent Family Other

Time at Address:

Years Months

Rent/Mtg. Pmt $

Email Address:

Drivers License #:

Drivers License State:

Drivers License Exp:

Previous Full Address (if less than 2 years):

Apt # / Suite #

P.O. Box:

Rural Route:

City:

State:

Zip:

Employer Name:

Employment Type:

Employed Unemployed Self Employed(no W2) Military Retired Student Other

Salary:

Salary Type:

Weekly Bi-Weekly Monthly Annualy

Occupation:

Length of Employment:

Years Months

Work Phone Number *

Previous Employer Name:

Previous Employment Type:

Employed Unemployed Self Employed(no W2) Military Retired Student Other

Previous Occupation:

Length of Employment:

Years Months

Previous Work Phone Number:

Other Income (Monthly):

Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation

Source of Other Income:

By signing , you certify that the Income entered on this Credit Application is accurate:

Type your initials

Comments:

Consent

Consent:

Initial to consent here:

Loan Application Signatures

Signature:

write your initals

Date:

/ /

By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer identified in this application and acknowledge that my information may be shared pursuant to the dealer’s privacy policy, if applicable. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment and salary history. By submitting this application, I acknowledge I am authorizing this dealer to check my credit.

R & R MotorsSecure Loan Application

Primary Borrower Information

Please Indicate whether you are applying for

Applicant Information

Consent

Loan Application Signatures

Co-borrower Information

Please Indicate whether you are applying for

Applicant Information

Consent

Loan Application Signatures

R & R Motors
Secure Loan Application