G.K.A.C. Car Lot
Secure Loan Application

Primary Borrower Information


/ /
- -
Rent Own
per month
(if current is less than 2 years)


Net Income


Credit References

Current Vehicle Details

Yes No
Yes No

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.