Drivers Choice Auto & Truck
Secure Loan Application

Primary Borrower Information

Personal

- -
/ /
per month

Employment

(at current employer)
(before taxes)
per month

Vehicle Applying For

Comments

Trade In

If yes please add the following bellow

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.