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Text File  |  1991-06-07  |  2KB  |  56 lines
  1.                      CONSUMER CREDIT APPLICATION
  2.  
  3.  
  4. Name ___________________________________________Date_______________
  5. Address_____________________City___________State______Zip_____
  6. How long at address___________________Own or Rent ____________
  7. Employed by______________________________Position_____________
  8. How long______________________________Salary $________________
  9. No. dependents____________Type car owned_____________Year_____
  10. Other sources of income:
  11.  ___________________________________ $_______________________
  12.  ___________________________________ $_______________________
  13. Outstanding obligations:
  14.  ___________________________________ $_______________________
  15.  ___________________________________ $_______________________
  16.  ___________________________________ $_______________________
  17.  ___________________________________ $_______________________
  18. Pending lawsuits_____________________________________________
  19. Have you filed bankruptcy within last 6 years?_______________
  20. Credit references:
  21. Name______________________________Address_____________________
  22. Name______________________________Address_____________________
  23. Name______________________________Address_____________________
  24. Bank references:
  25. Name______________________________Address_____________________
  26. Checking______________________Savings_________________________
  27. Visa Card_____________________Master Card_____________________
  28. American Express______________Other Credit Cards______________
  29.  
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  32.  
  33.   NOTICE
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  37.  
  38.      When making applicatin for credit, it is understood that
  39. an investigation may be made whereby information is obtained
  40. through personal interviews with your neighbors, friends, or
  41. others with whom you are acquainted.  This inquiry includes
  42. information  as to your character, general reputation,
  43. personal characteristics, and mode of living.  You have a
  44. right to make a written request within a reasonable period of
  45. time to receive additional, detailed information about the
  46. nature and scope of this investigation.
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  53.      ________________________________
  54.    Applicant
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