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Page 1 of a Credit Application Example
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CREDIT APPLICATION APPLICANT INFORMATION Name: Date of birth: SSN: Phone: Current Address: City: State: ZIP Code: Own Rent (Please circle) Monthly payment or rent: How long? Previous Address: City: State: ZIP Code: Owned Rented (Please circle) Monthly payment or rent: How long? EMPLOYMENT INFORMATION Current Employer: Employer Address: How long? Phone: E-mail: Fax: City: State: ZIP Code: Position: Hourly Salary (Please circle) Annual income: Previous employer: Address: How long? Phone: E-mail: Fax: City: State: ZIP Code: Position: Hourly Salary (Please circle) Annual income: Name of a relative not residing with you: Address: Relationship: Phone: E-mail: Fax: CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNT Name: Date of birth: SSN: Phone: Current Address: City: State: ZIP Code: Own Rent (Please circle) Monthly payment or rent: How long? Previous Address: City: State: ZIP Code: Owned Rented (Please circle) Monthly payment or rent: How long? EMPLOYMENT INFORMATION Current Employer: Employer Address: How long? Phone: E-mail: Fax: City: State: ZIP Code: Position: Hourly Salary (Please circle) Annual income: Previous employer: Address: Phone: E-mail: Fax: City: State: ZIP Code: Position: Hourly Salary (Please circle) Annual income: