Application Type Individual Relationship Vehicle of Interest Applicant Personal Information Time at Current Residence Residence Type Own home w/ mortgage Own home w/o mortgage Rent Live with relative Applicant Employment Information Income interval Monthly Weekly Bi-Weekly Temporary Employment Status Contract Full Time Part Time Retired Seasonal Self-Employed Temporary Public Assistance Employment Type Auto Worker Clerical Craftman Executive / Municipal Farmer Fisherman Gouvernment Homemaker Other Professional Sales / Advertisament Semi-Skilled Labor Skilled Labor Time in Job 0 Year 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years 0 Month 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months I, the undersigned, affirm that everything I have stated in this application is correct to the best of my knowledge. I understand that you and or your assignees may retain this application and any other information you received whether or not the application is approved. For purpose of this application, you are authorized to check my credit and employment history. I authorize any person or consumer reporting agency to furnish to you any information it may have or obtain in response to your credit or employment inquiries, whether you make them. I further affirm that I am not contemplating a bankruptcy action at the present time, nor fo I have any executions or pending legal proceedings against me. I recognize that providing false or fraudulent information is illegal and may be a basis for denying a discharge in bankruptcy. Get Approved
