Rueschhoff Automobiles
Secure Loan Application

Primary Borrower Information

Loan Information

Personal

- -
/ /
(CA,NY, etc.)
(MM/DD/YYYY)
per month
Years
Months

Previous Residence Information (If less than 2 years at current residence)

City: State: Zip:
Years Months
City: State: Zip:
Years Months

Employment

Years
Months
Gross (before deductions)
per month
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for approval of this obligation

If time on Job is less than 2 years, please provide prior

Years
Months

Vehicle you are interested

Trade-In Details


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.