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Loan Application
Below is our loan application. Once your form is completed and processed a representative from R&B Auto Center will contact you.

This form is secure. You will notice a lock at the bottom right hand corner of your browser and the URL at the top should be (https://www.....). We use the latest encryption technologies to insure that your confidential information is safe. If you have any questions regarding the authenticity of the R&B Auto Center encryption, click on the lock in the bottom right corner of your browser to view the details or click on the GEOtrust icon at the bottom of the page.

If you have any questions feel free to call (909) 829-1140. All fields notated with the * are required fields.

Tell Us About Yourself

*First Name

*Last Name

Initial

*Birthday

*Social Security

*Marriage Status

*Address

*City

*State

*Zip

*Home Phone

*# of Years

Employer Information

Employer

Your Position

Work Phone

Yrs. at Job

Address

City

State

Zip

Previous Employer Information

Previous Employer

Your Position

Work Phone

Yrs. at Job

Previous Employer Address

City

State

Zip

Income/Down Payment Information

Monthly Income

Email Address

Down Payment

$.00

(including child support, alimony, etc.)

(only enter numbers)

Please press Submit only once.

By submitting this online form, you are authorizing by a digital signature, R&B Auto Center, Inc. to research, investigate, and verify the above information. It is understood by submitting this form, you specifically consent R&B Auto Center, Inc. to investigate your credit history for the purpose of extending credit.