Credit Application

Credit App

APPLICANT INFORMATION
Rep Name:
Rep Cell:
Project Amt:
Down payment:
Amount Financed
Plan Sold Terms:
Estimated Payment Requested:
Name
First Last
*Note: to complete this application we will require social security number and drivers license information, but for security reasons we will not request that info over the internet.
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years at this home?
House payment amount?
EMPLOYMENT INFORMATION
Current employer:
How long have you worked there?
Position:
Phone
Fax
Email
Employer address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Anual income:
Income Type
- Hourly
- Salary
Previous employer:
How long have you worked there?
Position:
Phone
Fax
Previous employer address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Anual income:
Income Type
- Hourly
- Salary
Name of a relative not residing with you:
Relationship:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNT
JOINT ACCOUNT?
- Yes
- No
Name
First Last
Date Of Birth:
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Own or Rent?
- Own
- Rent
Monthly payment or rent
How long have you lived there?
Previous address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Own or Rent?
- Own
- Rent
Monthly payment or rent
How long have you lived there?
CO-APPLICANT EMPLOYMENT INFORMATION
Current employer:
Email
Phone
Fax
Employer address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How long have you worked there?
Position
Income Type
- Hourly
- Salary
Annual income:
Previous employer:
Email
Phone
Fax
Previous Employer address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Position
How long did you worke there?
Income Type
- Hourly
- Salary
Annual income:
Name of a relative not residing with you:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Relationship:
CREDIT CARDS
Provide Name, Account no., Current balance, Monthly payment
Please provide the following info for all current credit cards: Name, Account no., Current balance, Monthly payment
MORTGAGE COMPANY
Mortgage Company Name
Account number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
AUTO LOANS
Provide Account name, Account no., Balance, Monthly payment
Please provide Account name, Account no., Balance, Monthly payment of current car loans/leases
OTHER LOANS, DEBTS, OR OBLIGATIONS
Provide Description, Account no., Amount
Please provide Description, Account no., Amount of any other current loan or obligation
OTHER ASSETS OR SOURCES OF INCOME
Provide Description and Amount per month or value
AUTHORIZATION & SIGNATURE
I authorize Advance Solar & Spa to verify the information provided on this form as to my credit and employment history.*
- Yes
- No
Applicant Signature*
By typing your full name here you verify this is your signature
Date
Co-Applicant Signature
By typing your full name here you verify this is your signature
Date
INFORMATION FOR GOVERNMENT MONITERING PURPOSES: The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lenders compliance with the equal credit opportunity, fair housing, and home mortgagee disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that the lender may not discriminate in person under federal regulations the lender is required to note race or national origin and sex on the basis of visual observation or surname. If you don’t wish to furnish this info, please check below.

APPLICANTS (S)- IMPORTANT-READ BEFORE SIGNING* - I (we) certify that the above statements are true and that no unfavorable information known to me for herein has been omitted. I authorize you to retain this application as your property whether or not a contract is consummated, and make any investigation you deem advisable before
CHECKLIST:
1.Are your current paystubs or proof of income available if lender requires approval?
- Yes
- No
2.Is a copy of the mortgage statement available?
- Yes
- No
3.Did you submit a copy of the home improvement contract with this application?
- Yes
- No