JR's Auto Connection
Secure Loan Application

Primary Borrower Information


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Housing Costs & Other Income

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

Payment Arrangements

For Auto Loan Applicants

Loan Agreement

Write Your Initials
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Additional Loan Notes

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.