Fillable Open-End Credit Loan Application printable pdf download

OPEN-END CREDIT LOAN APPLICATION

PLEASE PRINT

Individual Credit Line - relying solely on my income

Joint Credit Line

Check one:

Individual Credit Line - relying on my income as well as income from other sources

Please answer each question as thoroughly as possible. Incomplete applications will not be processed. Provide the following marital status information only if: you are

applying for a joint account, you live in a community property state, or the property used to secure this loan is in a community property state.

Applicant:

Married

Seperated

Unmarried (including single, divorced, widowed)

Co-Applicant:

Married

Seperated

Unmarried (including single, divorced, widowed)

APPLICANT INFORMATION

CO-APPLICANT INFORMATION

Name

Address (include city, state and zip)

How Long

Address (include city, state and zip)

How Long

Previous Address

How Long

Previous Address

How Long

Home Phone No.

Business Phone No.

Home Phone No.

Business Phone No.

Social Security No.

Birth Date

No. of Dependents

Social Security No.

Birth Date

No. of Dependents

Employer

Position

How Long

Employer

Position

How Long

Employer's Address

Previous Employer

Position

How Long

Previous Employer

Name of Nearest Relative

Address

Name of Nearest Relative

Address

Name of Present Landlord/Mortgage Holder

Phone No.

Name of Present Landlord/Mortgage Holder

Phone No.

Monthy Rent/Mortgage

Own

Rent

Own

Rent

INCOME

CO-APPLICANT INCOME

You need not list income from alimony, child support, or separate maintenance if you do

not want us to consider it when determining your ability to repay this obligation.

not want us to consider it when determining your ability to repay this obligation..

Source

Amount

Per (Wk., Mo., or Yr.)

Source

Amount

Per (Wk., Mo., or Yr.)

OBLIGATIONS / REAL ESTATE

CO-APPLICANT OBLIGATIONS / REAL ESTATE

Include any amounts you must pay towards alimony, child support or seperate maintenance.

Also list all credit card obligations.

To Whom Paid

Credit Limit

Mo. Payment

Balance Owing

To Whom Paid

Credit Limit

Mo. Payment

Balance Owing

ASSETS

CO-APPLICANT ASSETS

Do not include real estate assets. Include cash in savings institutions, stocks, bonds, cash

value of life insurance, autos, etc.

Type

Amount

Type

Amount

GENERAL INFORMATION

If you or co-applicant answer yes to any of the following questions, please explain.

Are you a guarantor or co-maker of any leases, contractors or debts?

Yes

Are there any suits or judgements pending against you?

Yes

If yes, state amount $ __________________________

Have you been declared bankrupt in the last 10 years?

Yes

I certify that everything I have stated in this application and on any attachments is correct. You may keep this application whether or not it is approved. By signing below I authorize you to check

my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update this credit information at your request and if my

financial condition changes.

Applicant X _________________________________________ Date ______/______/______

Co-Applicant X _____________________________________ Date ______/______/______