*CO-APPLICANTS WILL NEED TO APPLY SEPARATELY AT THIS TIME
**By submitting the above application I understand that I am applying for a vehicle loan with Rohm Automotive or a designated financing source. I certify that I am the person named above and that all information herein is true and complete. I authorize Rohm Automotive and any potential financing source to use the personal information gathered in this application to verify my credit score, employment and income history. I also authorize Rohm Automotive to provide reports on the status of my credit application, including information concerning whether I pre-qualify for a loan and whether I accept a loan from the specified lender.