If this is to be a joint application: Main Applicant fill out section 1, and Joint Applicant fill out section 2. |
[MAIN
APPLICANT]
SECTION 1 |
[JOINT
APPLICANT]
SECTION 2 |
Your name (first, middle initial, last):
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Your name (first, middle initial, last):
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Birthdate (month/ date/ year):
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Birthdate (month/ date/ year):
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Phone Number:
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Phone Number:
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SS #:
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SS #:
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Address (street name):
City:
State:
Zip:
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Address (street name:
City:
State:
Zip:
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How long at this address?
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How long at this address?
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Previous Address: (If current less
than 3yrs.)
City:
State:
Zip:
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Previous Address: (If current less
than 3yrs.)
City:
State:
Zip:
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Employment Status:
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Employment Status:
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Employed By:
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Employed By:
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Employer Address:
City:
State:
Zip:
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Employer Address:
City:
State:
Zip:
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Employer Phone:
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Employer Phone:
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Position:
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Position:
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Length of Employment:
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Length of Employment:
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Gross Monthly Income:
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Gross Monthly Income:
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Hourly (hrs per wk x hourly rate x 4.3 wks per mo.) :
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Hourly (hrs per wk x hourly rate x 4.3 wks per mo.) :
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Previous Employer (If current is less than 3years):
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Previous Employer (If current is less than 3years):
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Previous Length of Employment:
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Previous Length of Employment:
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Other Income (Source):
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Other Income (Source):
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Other Income Monthly Gross:
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Other Income Monthly Gross:
|
| Own:
Rent:
Family:
Other:
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Own:
Rent:
Family:
Other:
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Monthly Rent Payment:
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Monthly Rent Payment:
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Monthly Mortage Payment:
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Monthly Mortage Payment:
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Mortgage Holder:
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Mortgage Holder:
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Monthly Payment:
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Monthly Payment:
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Other Loans (list bank):
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Other Loans (list bank):
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Monthly Payment:
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Monthly Payment:
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| Ever filed bankuptcy? No:
Yes:
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Ever filed bankuptcy? No:
Yes:
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Ever had a judgement or garnishes against
you?
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Ever had a judgement or garnishes against
you?
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Nearest relative not living with you:
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Nearest relative not living with you:
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Your email address:
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Your email address:
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Vehicle Purchasing:
Year:
Make:
Model:
Color:
Price:
|
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Down Payment You Plan to Make:
|
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Vehicle Trading In:
Year:
Make:
Model:
Color:
Condition:
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Any other comments?
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Any other comments?
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All information given in this application
is true, correct and complete, and is given for the purpose
of obtaining credit from you. I authorize you to verify any
information given in this application. In addition, I authorize
you to obtain any information you feel is necessary in connection
with this application or in connection with any review, update,
renewal or collection of any credit you extend as a result
of this application. Finally, I authorize you to give information
about me and your credit experience with me to others such
as banks, stores, and credit reporting agencies.
I understand you may request a credit report on me from a
credit-reporting agency in connection with this application
or in connection with any update, extension or renewal of
any credit you extend as a result of this application. In
addition, I understand that, if I ask, you will tell me if
a credit report was requested, and if so, the names and address
of this credit reporting agency furnishing the report.
I agree that you may keep this application whether
or not you approve it. I acknowledge receipt
of a Notice Regarding Credit Reports.
Notice Regarding Credit Reports. In connection with your
application or any update, extension or renewal of any credit
we extend you as a result of the application, a credit report
may be requested from a credit-reporting agency. Upon request,
we will tell you if a credit report was requested and, if
so, the name and address of the credit-reporting agency furnishing
the credit report.
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