Financing

Check List

Do you have full coverage auto insurance with a $500 deductible?

Yes No

Can you supply us with a copy of your residential lease?

Yes No

Can you supply us with a copy of Social Security card and driver license?

Yes No

Can you supply us with  proof of income (2 current paycheck stubs)?

Yes No

Can you supply us with  utility bills (No past due phone or elec. Bills will be accepted)?

Yes No

Have you completed At least 6 months on same job?

Yes No

Have you had at least 2 years residence in Bay County?

Yes No

Do you have a minimum $1500.00 income per month?

Yes No

Are you over the age of 25?

Yes No

Primary Applicant's Information

Full Name

Mailing Address

Street Address

Apt. Number

City

State

Social Security Number (123-45-6789)

Date of Birth  (01/01/1901)

Home Phone  (123-456-7890)

Cell Phone

Employer

Position

Length of time employed

Other income (alimony child support, or seperate income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation)

Second Applicant's Information (if applicable)

Full Name

Mailing Address

Street Address

Apt. Number

City

State

Social Security Number

Date of Birth

Home Phone

Cell Phone

Employer

Position

Length of time employed

Other income (alimony child support, or seperate income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation)

Combined Information

Do you have a checking account?

  Please Select Yes No

Institution and account number

Do you have a savings account?

  Please Select Yes No

Institution and account number

Indicate your housing status

  Please Select Rent apartment Rent Home Own home

Monthly payment

Balance owed on home

Value of home

Have you ever filed for bankruptcy?

  Please Select Yes No

If so what year?

Other Loans

Auto #1

How many more months do you owe?

Monthly payment

Balance owed

Auto # 2

How many more months do you owe?

Monthly payment

Balance owed

Other creditors (names and amounts owed)

Primary Applicant
By placing my name in the box and adding my initials as per federal law I am certifying that all of the above information is correct. I realize that my electronic signature authorizes you to check my credit and employment history and ask any other questions about my credit record.

Full Name
 
Initials
 

Date    (01/01/2006)

Second Applicant
By placing my name in the box and adding my initials as per federal law I am certifying that all of the above information is correct. I realize that my electronic signature authorizes you to check my credit and employment history and ask any other questions about my credit record.

Full Name
 
Initials
 

Date     (01/01/2006)