Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.REHOBOTH AUTO GROUP 8444 Ardwick Ardmore Road, Landover MD 20785 and 120 Second street #3 Laurel MD 20707 VEHICLE FINANCE/RTO APPLICATION FORM Name: *FirstLastAddress: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer Name: *Employer Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNet Monthly Income from Employment: $ *Other Income (Monthly): $ *(Please specify amount and the type of income)Monthly Expenses Rent/Lease: $Mortgage: $Water: $Gas: $Electricity: $Cable/Internet: $Vehicle Insurance: $Phone Bills: $Child Support: $Alimony: $Other Expenses (Please specify) Employer Other $ Provide the Documents below with your completed and signed application form. ➢ Valid Drivers’ License (Non-Provisional) ➢ 3 months current Bank Statement ➢ Social Security Card ➢ 2 Most recent pay stubs ➢ 2 Utility Bills with your name and address issued in the last 30 days Terms & Conditions 1.This is an application / expression of interest form. It is not a contract agreement to purchase, lease or rent a vehicle. 2.The seller has a right to either approve or deny the applicant’s application at its own discretion and without recourse to the applicant. 3.The applicant may make a holding deposit as an expression of interest to secure the vehicle for up to 3 days, even if a Rent-To-Own (RTO) Contract or Lease Contract is yet to be signed by the applicant. This would give the applicant the right of first refusal within the 3-day period. 4.The minimum amount acceptable for a holding deposit will be 10 % of the cash down price of the vehicle. 5.The holding deposit does not in any way obligate the seller to approve this application or to sign a lease/ RTO contract with the applicant. 6.If the applicant decides not to move ahead with the contract after the holding deposit has been paid, the seller will refund the holding deposit less administrative & restocking fees. The administrative & restocking fees will be equal to 5 % of the cash down price. 7.Where the holding deposit was paid by a card transaction, the applicant must wait for the bank’s processing period (typically 3 – 5 days) to have access to the refund. 8.The seller may conduct a background check on the applicant while processing the applicant’s application. The seller has the right to deny the applicant’s application if it is found that the applicant provided false, inaccurate, or misleading information in the application form. By completing and signing this application form, the applicant affirms to have read and understood the terms and conditions listed above. The Applicant also represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts provided herein. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information. Applicant Name *FirstLastAcknowledgment *Yes, I acknowledge typing my full name as signatureSignature:Date:Submit