ABOUT SSL CERTIFICATES  
Please take a few minutes to fill out our convenient on-line credit application and the Ricks Auto Sales credit department will begin the financing process. A Ricks Auto Sales credit support specialist will contact you when we have received and reviewed your application.
 
*  Required Field.
  Loan Information
 
* Applicant Type:  
  Amount Required:
* Down Payment:  
* Trade In:  
  Trade In - Year: (*if you have a trade in)
  Trade In - Make: (*if you have a trade in)
  Trade In - Model: (*if you have a trade in)
  Trade In - VIN:
 
  Contact Information
 
* First Name:  
  Middle Name:  
* Last Name:  
* SSN: EX. xxx-xx-xxxx
* DOB: EX. mm/dd/yyyy
* Email:  
  Home Phone:   EX.(xxx) xxx-xxxx
* Day Phone:   EX.(xxx) xxx-xxxx
  Cell Phone:   EX.(xxx) xxx-xxxx
  Fax:
* Preferred Contact:  
* Address:  
* City:  
*  State:
* Zip :    
* Have you ever had
   a bankruptcy?
 
  Has your bankruptcy
   been discharged?
 		 (*If you had a bankrupcy)
 
  Residence Information
 
* Residence Type:  
* Monthly Payment:  
* Year at Residence:  years   months 
  Landlord's
   Phone Numer:
 		 (*if Residance Type is Rent)  
 
  Previous Residence Information

*(Required if years at residence is less than 2 years)
  Residence Type:  
  Monthly Payment:  
  Year at Residence:  years   months 
  Landlord's
   Phone Numer:
 		 (*if Residance Type is Rent)  
 
  Employment Information
 
* Employer:  
* Occupation:  
* Monthly Income
   (Before Taxes):
 		  
* Pay Frequency
* Pay Type
* Is the income
   verifiable?
 
* Time on Job:  years  months 
* Business Phone:  
* Address:
* City:  
* State:  
  Zip Code:
 
  Previous Employment Information

*(Required if years at current employer is less than 2 years)
  Employer:  
  Occupation:  
  Monthly Income
   (Before Taxes):
 		  
  Pay Frequency
  Pay Type
  Is the income
   verifiable?
 
  Time on Job:  years  months 
  Business Phone:  
  Address:
  City:  
  State:  
  Zip Code:
 
  Other Income
 
  Source:
  Monthly Income:
  Income Frequency:
 
  Bank Information
 
* Bank Name :
* Checking Account?
* Savings Account?
 
  Additional Information
 
  Additional Comments / Desired Vehicle:
 
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize this dealer to begin a credit investigation, to process my application and to forward my application to lenders, financial institutions or other third parties in order to process my application.

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