Credit Application

Are you obligated to pay child support?

Untitled multiple choice field

How long have you been working there?

Do you have a 2nd employer?

Do you

Have you ever had a repossession?

Have you ever filed for bankruptcy?

Have you ever lived in another state or country in the past 10 years?

Do you already have insurance?

I hereby authorize you to release to RPM MOTORS BROKERS LLC, for verification purposes, information requested on the attached forms concerning: Residence, employment, credit information, payment history to creditors, and any information deemed necessary in completing loan transactions. The undersigned hereby authorizes the selling dealer or finance company to initiate a credit investigation based upon the above information, which information has been voluntarily provided by myself, and warrants the truth and accuracy of this information.

This information is for the confidential use of this lender. A photographic copy of this application may be deemed to be the equivalent of the original and may be used as a duplicate original.