FINANCE APPLICATION

DEALER NAME
AARMCO AUTO & RV SALES

FINANCE DEPARTMENT PHONE (936) 327-7117
FINANCE DEPARTMENT FAX (936) 327-7119
PURCHASE INFORMATION
SALES PRICE
STOCK NUMBER
YEAR
MAKE
MODEL
APPLICANT INFORMATION CO-APPLICANT INFORMATION
FIRST NAME
MIDDLE
LAST
FIRST NAME
MIDDLE
LAST
SOCIAL SECURITY NUMBER
BIRTH DATE
US CITIZEN? MARRIED SOCIAL SECURITY NUMBER
BIRTH DATE
US CITIZEN? MARRIED
YES UNMARRIED YES UNMARRIED
NO SEPARATED NO SEPARATED
DRIVER'S LICENSE
DRIVER'S LICENSE
CURRENT STREET ADDRESS (PROVIDE PREVIOUS ADDRESS IF UNDER 3 YEARS
CURRENT STREET ADDRESS (PROVIDE PREVIOUS ADDRESS IF UNDER 3 YEARS
CITY
STATE
ZIP
HOW LONG?
CITY
STATE
ZIP
HOW LONG?
HOME PHONE
WORK PHONE
CELL PHONE
HOME PHONE
WORK PHONE
CELL PHONE
MAILING ADDRESS
MAILING ADDRESS
MORTAGE or LANDLORD NAME
OWN MORTAGE or LANDLORD NAME
OWN
RENT RENT
OWNER OWNER
PURCHASE PRICE
BALANCE
MO. PAYMENT
PURCHASE PRICE
BALANCE
MO. PAYMENT
PREVIOUS ADDRESS
CITY
STATE
ZIP
HOW LONG?
PREVIOUS ADDRESS
CITY
STATE
ZIP
HOW LONG?
CURRENT EMPLOYER
YEARS
CURRENT EMPLOYER
YEARS
OCCUPATION / TITLE
GROSS MONTHLY INCOME
OCCUPATION / TITLE
GROSS MONTHLY INCOME
ADDRESS
CITY
STATE
ADDRESS
CITY
STATE
PREVIOUS EMPLOYER (IF LESS THAN 3 YEARS AT CURRENT EMPLOYER)
YEARS
PREVIOUS EMPLOYER (IF LESS THAN 3 YEARS AT CURRENT EMPLOYER)
YEARS
OTHER SOURCE OF INCOME PER MONTH
OTHER SOURCE OF INCOME PER MONTH
**(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.) **(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
EMAIL ADDRESS
EMAIL ADDRESS
HAVE YOU HAD ANY JUDGEMENTS, FORECLOSURES OR BANKRUPTCIES IN THE PAST 10 YEARS? YES NO

EXPLAIN:
HAVE YOU HAD ANY JUDGEMENTS, FORECLOSURES OR BANKRUPTCIES IN THE PAST 10 YEARS? YES NO

EXPLAIN:


I certify that the information given is true, correct and complete and is given for the purpose of obtaining credit, and Marine Coast Financial and any other creditor or prospective creditor of the undersigned or any agency employed by you or any of them are authorized to make investigations including credit inquiries and employment verifications concerning the undersigned or concerning the above information and to disclose to each other the information set forth above and the results of such investigations.

ANY FAX TRANSMISSION OF MY SIGNATURE WILL BE HELD EQUALLY ENFORCEABLE AS MY GENUINE SIGNATURE.

APPLICANT'S SIGNATURE DATE
 
CO-APPLICANT'S SIGNATURE DATE