JR's Auto Connection
Secure Loan Application

Primary Borrower Information

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List alimony,child support or separate maintance income only if you want it considered. You will be required to substantiate any other income listed.
Refinance or Purchase
Write Your Initials
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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.