Consumer Credit Application - Vista Bank Page 2

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Consumer Credit Application Cont’d
Assets Owned
Include information about both applicants if applicable. Use a separate sheet if necessary.
Name in Which
Type
Description
Subject to Debt?
Value
Account is Carried
Cash and Deposits
Automobiles
Real Estate
Investments
Other
$ 0.00
Total Assets
Outstanding Debts
Including charge accounts, installment loans, credit cards, rent and mortgages. Use a separate sheet if necessary.
Type
Description
Monthly Payment
Present Balance
Landlord/Mortgage Holder:
Rent
Mortgage
Automobiles
Credit Cards
Other Debt
Total Debts
$
$
0.00
0.00
Complete the following information about both the Applicant and Joint Applicant or Other Person (If Applicable)
Are you obligated to make Alimony, Support, or Maintenance Payments?
No
Yes
Amount per month
If yes, to whom?
(Name & Address)
Are you a co-maker, endorser, or guarantor on any loan or contract?
No
Yes If yes, for whom
To whom
Are there any unsatisfied judgments against you?
No
Yes If yes, to whom owed
Amount $
Have you been declared bankrupt in the last 10 years?
No
Yes If yes, where
Year
Collateral Offered
Complete only if credit is to be secured (Briefly describe the property to be given as security)
Property description
Name and addresses of all co-owners of the property
If the security is real estate, give the full name of your spouse (if any)
I certify that everything I have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is approved. By signing below I authorize the Lender to check my
credit and employment history and to answer questions others may ask the Lender about my credit record with the Lender. I understand that I must update credit information at the Lender’s request if my
financial condition changes.
Date
Date
Other Signature (Where Applicable)
Applicant's Signature

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