Credit Application

Complete the form below to apply for financing.

Personal Information

First Name *

Middle Name

Last Name *

Social Security # *

Date of Birth *

ID Type *

ID State *

ID Number *

Phone *

Email *

Address *

Apt

City *

State *

Zip Code *

Time at Address

Housing Status *

Monthly Housing Payment

Employer *

Employment Type *

Income Type *

Time at Job *

Employer Phone *

Monthly Income *

Vehicle of Interest

Down Payment

I have a trade-in vehicle

Your information is kept secure and will only be used for the purpose of evaluating your credit application.

I confirm that all information provided is correct and accurate.

I authorize Rugas Auto Sales to verify my information and run a credit check.