Credit Application | Sunset Sails

Credit Application

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Applicant Information

Personal Information

First Name(required)
Last Name(required)
Birthdate(required)
Social Security Number(required)
Dependents
Dependent Ages

Current Address

Current Address(required)
City(required)
State(required)
Zip Code(required)
How Long at Current Address?
Years(required)
Months(required)
Main Phone(required)
Other Phone
Status(required)
Monthly Rent or Mortgage Payment(required)

Previous Address

(If less that 5 years at present.)
Current Address
City
State
Zip Code

Applicant Employment

Current Employer
Employer Name
Employer Address
Employer Phone
Dates Employed
Employed From
Employed To
Occupation
Gross Monthly Income
Previous Employer
Employer Name
Employer Phone
Dates Employed
Employed From
Employed To

Other Income

Alimony, Child Support, or separate maintenance income need not be revealed unless applicant wishes such source considered as basis for repayment of requested credit.
Source of Other Income
Monthly Amount

Debts

List All Debts (i.e. car payment, credit cards, child support)
Example: Mastercard - $20.00
Debt - Monthly Payment
(one per line)

Assets

List All Assets (i.e. Bank accounts, stocks, retirement, life insurance, etc.)
Example: Checking Account - $2000.00
Assets - Value
(one per line)

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