Consumer Loan Application

Co-Applicant Information
Co-Applicant*

First NameLast Name
Date of Birth

MonthDayYear
Date
State in Which Drivers License Was Issued
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years at this Address
Is this your Mailing Address

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years at Previous Address
Rent / Mortgage Payment
Type of Housing

Own OutrightOwnRentLive with RelativesOther
Employment / Income

Notice: Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered.
Employer
Position / Job Title
Work Phone Number

Area CodePhone Number
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
Days with Employer (Co-App)
Gross Monthly Income
Other Monthly Income
Source of Other Monthly Income
Previous Employer
Previous Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date

User Agreement

Everything that I have stated in this application is correct to the best of my knowledge. Ramos Auto Sales and its affiliates are authorized to check my credit, employment history, obtain a credit report and to answer questions about their credit experience with me. I understand that it may be a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of the United States Criminal Code.
I have read and accept the terms and conditions.
I understand that by completing this form, Ramos Auto Sales & Tire Shop or any of its affiliates are in no way guaranteeing that I will qualify for financing.
Signature of Primary Applicant
Signature of Co-Applicant
Should be Empty: