Credit Application
IMPORTANT: READ THESE DIRECTIONS BEFORE COMPLETING THIS APPLICATION
purchaselease
SECTION A.
Check appropriate box
If you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.If you are married and live in a community property state, complete all sections, including Section C, providing information about your spouse.If this is an application for joint credit with another person, complete all sections, providing information in Section C about the co-applicant.

NOTE: APPLICANT, IF MARRIED, MAY APPLY FOR A SEPARATE ACCOUNT.
Seller

Stock number/year & make

Date

Amount requested in $

SECTION B. Information Regarding Applicant

Your name & social security number

Birth Date

Home Telephone/Cell

Your Email (required)

Your address & years there (required)

Years lived in this community (required)

Previous address & years there (required)

Years lived in this community (required)

Present employer & telephone number (required)

Present employer's address (required)

Position - title -years employed (required)

Previous employer/title/years employed (to cover previous two years)

Name of nearest relative not living with you/address/phone/relationship


Applicant's gross monthly income from employment. (Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Gross monthly income

Alimony, child support, or separate maintenance received under:
court orderwritten agreementoral understanding

Amount of other monthly income & sources

SECTION C. Information Regarding Spouse, or Co-Applicant (if necessary)
Name/address/birth-date/driver's license #/ss#/dependents & ages

Marital status
marriedunmarriedseparated
How long at this address (in years & months)

How long in community

Previous address (to cover 3 years residence)

Co-applicant's-present employer's address/phone (required)

Co-applicant's Position - title -years employed (required)

Co-applicant's Previous employer/title/years employed/phone (to cover previous two years)

Co-applicant's name of nearest relative not living with you/address/phone/relationship

Co-applicant's gross monthly income from employment. (Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Gross monthly income

Co-applicant alimony, child support, or separate maintenance received under:
court orderwritten agreementoral understanding

Co- applicant amount of other monthly income & sources

SECTION D. Asset and Debt Information: List all debts including alimony, child support, separate maintenance(Be specific & complete)
(If Section C has been completed, this section should be completed giving information about both the Applicant and the Co-Applicant, or other person. Please mark Applicant related information with an "A". If Section C was not completed, only give information about the Applicant in this Section)

Name of Landlord or Mortgage holder

Address

First Mortgage balance

Payment?Rent?
First mortgage payment amount in $

2nd mortgage payment amount in $

Date home purchased

Age of home

Purchase price home

Estimated value of home

Furniture owned in 'Number of Rooms?'

To whom balance of furniture owed?

Balance owed

Estimated value

Vehicles/Purchased from/Address/Purchase price/Monthly payment