1. Applicant

Yellow fields are required.
First Name  Middle Initial  Last Name 
Social Security Number 
Birth Date Month  Day  Year 
Area Code & Home Phone Number
Current Address 
Current City    Current State     Current Zip 
Buying    Renting    Living with Parents    Own Free and Clear    Other
Rent or Mortgage Payment       Time at Residence
Years at Previous Address (complete if less than one year at present address 
Previous Address
Previous City   Previous State   Previous Zip
Drivers License Number     State Issued
Name & Address of  Nearest relative Not Living With You
Relationship to Above     Area Code and Home Phone Number

2. Applicant Employment

Present Employer Name (If Self Employed Please List Business Name)
Employer City, State     Employer's Area Code & Phone Number
Gross Monthly Income    
Applicant's Occupation or Job Title (if Military, State Rank)
Time at Job        Years     Months
Source of Additional Income     Additional Income Amount Gross
Previous Employer (Complete if less than two years at present job)
Occupation or Job Title     Time at job        Years     Months

3. Co-Applicant

First Name  Middle Initial  Last Name 
Social Security Number 
Birth Date Month  Day  Year 
Area Code & Home Phone Number
Current Address 
Current City    Current State     Current Zip 
Buying    Renting    Living with Parents    Own Free and Clear    Other
Drivers License Number     State Issued
Previous Address (Complete if less than one year at present address 
Previous City   Previous State   Previous Zip
How Long       Years        Months               Relationship to Primary Applicant

4. Co-Applicant Employment

Present Employer Name (If Self Employed Please List Business Name)
Employer City, State     Employer's Area Code & Phone Number
Gross Monthly Income    
Applicant's Occupation or Job Title (if Military, State Rank)
Time at Job        Years     Months
Source of Additional Income     Additional Income Amount Gross
Previous Employer (Complete if less than two years at present job)
Occupation or Job Title     Time at job        Years     Months

Please answer the following questions to expedite the loan process:

1. How much money do you anticipate using as a down payment (not including the trade allowance)? $
(10% is typically considered a minimum down payment, however $0 down is available depending on credit and amount financed.)
2. Whom should we call with the details of the loan?
3. Where should we contact you?   Contact # or address
4. When do you anticipate delivery? 
 
Federal law requires the creditor to obtain, verify, and record information that identifies me/us when I/we open an account.  The creditor will use my/our name, address, and other information for this purpose.

Evidence of physical damage insurance on the collateral securing the loan you seek is required prior to closing.  By submitting this application, you are authorizing us, to disclose information contained in your application to an insurance carrier solely for the purpose of providing you with a premium quote for such insurance.  You are, however, under no obligation whatsoever to purchase insurance from the insurance carrier providing the quote.  If you do not want us to disclose personal information from your application to  an insurance carrier in order to provide you with a quote, place your initials in the box at the end of this sentence. 

*Alimony, child support or separate maintenance income nee not be revealed id you do not wish to have it considered as a basis for repaying this obligation.
SIGNATURES:  I (we) authorize Priority/Catalyst One to obtain any information pertaining to our trade payoff from the lender.  I (we) certify that everything stated in this application and on any attachments is true and correct.  Priority/Catalyst One and any participating lender may keep this application whether or not it is approved.  By signing below I (we) authorize Priority/Catalyst One and any participation lender to check my credit and employment history and to obtain a consumer report in connection with this application or in connection with additional approval, extension or collection of credit.  I (we) understand that I (we) must update application information if my financial condition changes prior to closing of the loan.  Upon request I (we) will be informed whether or not a consumer report was requested and if so the name and address of the agency that furnished such report.

By dating and initialing below, I hereby swear that I am who I state that I am.  Falsifying records is forgery and will be prosecuted.
Date    Initials 
 
Everything I have stated in this loan request is correct to the best of my knowledge. I understand that by submitting this loan request, an inquiry will be made on my credit bureau(s). You and your financial institutions are authorized to check my credit and to answer questions about your credit experience with me. I have the right to ask for the name and address of the consumer reporting agency which was used for the qualifying process.

 

 

 

Please fill in all necessary fields (those colored in yellow), and click on the submit button.                  

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Finance Application