Sample Extended Credit App

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Personal Info

First Name *

Middle Initial *

Home Phone (Ex. 555-555-5555) *

Mobile Phone (Ex. 555-555-5555) *

Social Security Number (Ex. xxx-xx-xxxx) *

Last Name *

E-Mail Address *

Work Phone (Ex. 555-555-5555) *

Birthdate (Ex. MM-DD-YY) *

Drivers License Number (Ex. xxxx-xxx-xx-xxx-x)

Personal Info

Address *

City *

Zip *

Landlord/Mortgage Holder *

Years/Months At Address *

Previous Address

Previous Apartment

Previous State

Apartment

State *

Housing Status

Monthly Rent/Mortgage *

Previous Housing Status

Previous City

Previous Zip

Employment Info

Current Employer *

Employer Address *

Current Occupation *

Net Income (After taxes) *

Years/Month at Current Employer *

Previous Employer City/State *

Other Income *

Employer Phone (Ex. 555-555-5555) *

Employer City/State *

Gross Income (Before taxes) *

Payment Frequency

Previous Employer *

Years/Months at Previous Employer *

Co-Applicant Information

Cosigner First Name

Cosigner Middle Intial

Relationship to Applicant

Cosigner Work Phone (Ex. 555-555-5555)

Cosigner Birthdate

Cosigner Address

State

Cosigner Last Name

Cosigner E-Mail Address

Cosigner Home Phone (Ex. 555-555-5555)

Cosigner Social Security Number (Ex. xxx-xx-xxxx)

Apartment

Cosinger City

Zip

Cosigner Employment Info

Cosigner Current Employer

Cosigner Employer Address

Cosigner Current Occupation

Cosigner Net Income (After taxes)

Cosigner Years/Month at Current Employer

Cosigner Previous Employer City/State

Cosigner Other Income

Cosigner Employer Phone (Ex. 555-555-5555)

Cosigner Employer City/State

Cosigner Gross Income (Before taxes)

Cosigner Payment Frequency

Cosigner Previous Employer

Cosigner Years/Months at Previous Employer

Finish

Comments/Message

Contact Time

        APPLICATION DISCLOSURE

        The words "you," "your" and "yours" mean each person submitting this application. The words "we," "us," "our" and "ours" as used below refer to the dealer and to the Financial Institutions selected to receive your application.

        You authorize the dealer, as part of the credit underwriting process, to submit this application and any other application submitted in connection with the proposed transaction to the Financial Institutions disclosed to you by the dealer, for review. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such Financial Institutions may submit your applications for review to other Financial Institutions that may want to purchase your contract.

        You agree that we and any Financial Institutions to which your application is submitted may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction.

        You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information.

        You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction.

        We may keep this application and any other application submitted to us, and information about you whether or not the application is approved. You certify that the information on this application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties.

        FEDERAL NOTICES

        IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
        To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name,address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

        STATE NOTICES

        Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin Residents: If you, the applicant, are married and live in a community property state, you should also provide the personal credit information on your spouse in the co-applicant section. Your spouse is not required to be a co-applicant for the credit requested unless he/she wishes to be a co-applicant.

        California Residents:An applicant, if married, may apply for a separate account.

        Ohio Residents: Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

        New Hampshire Residents:If this is an application for balloon financing, you are entitled to receive, upon request, a written estimate of the monthly payment amount that would be required to refinance the balloon payment at the time such payment is due based on the creditor's current refinancing programs.

        New Hampshire Residents: In connection with your application for credit, we may request a consumer report that contains information on your credit worthiness, credit standing, personal characteristics and general reputation. If we grant you credit, we or our servicer may order additional consumer reports in connection with any update, renewal or extension of the credit. If you ask us, we will tell you whether we obtained a consumer report and if we did, we will tell you the name and address of the consumer reporting agency that gave us the report.

        Vermont Residents:By clicking on "Submit", you authorize us and our employees or agents to obtain and verify information about you (including one or more credit reports, information about your employment and banking and credit relationships) that we may deem necessary or appropriate in evaluating your application. If your application is approved and credit is extended, you also authorize us, and our employees and agents, to obtain additional credit reports and other information about you in connection with reviewing the account, increasing the available credit on the account (if applicable), taking collection on the account, or for any other legitimate purpose.

        Married Wisconsin Residents:Wisconsin law provides that no provision of any marital property agreement, or unilateral statement, or court order applied to marital property will adversely affect a creditor's interests unless, prior to the time that the credit is granted, the creditor is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. If you are making this application individually, and not jointly with your spouse, the full name and current address of your spouse must be properly disclosed in the co-applicant section of this application.

I have read and I understand and accept the terms of the Application Disclosure.
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*Although every reasonable effort has been made to ensure the accuracy of the information contained on this site, absolute accuracy cannot be guaranteed. This site, and all information and materials appearing on it, are presented to the user "as is" without warranty of any kind, either express or implied. All vehicles are subject to prior sale. Price does not include applicable tax, title, license.

Sample Extended Credit App

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