Loan Application CREDIT APPLICATIONPerson Entering Application Product/Service Being Financed Spanish PaperworkRepayment Terms Select Term Months12 months18 months24 months36 months48 months60 months 72 monthsDownpayment Trade In Tentative Installation Date State Contract Written In: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Home Improvement Excludes Water DamageType of Credit Closed-endOpen endSelling price Completion Payment Amount Requested Personal InformationID Issue Date Not Present On IDID Issue State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOther Not Present On IDFirst Name Middle Initial Last Name Address 1 Address 2 City State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOtherZIP Photo ID Type Drivers LicensePassportIdentity CardOtherSSN # ID # ID Expire Date Not Present On IDHome Phone Cell Phone Email App. DOB Type of Residence RentOwnHome Value Mortgage/Rent Payment Applicant's FinancialsSelf-Employed Yes NoApp. Position Time at Current Position Retirement/SSI Rentals Investments App. Employer App. Employer Phone # App. Gross Monthly Income Other Income I/We hereby authorize H-18, Inc. to submit my financing application to various financing entities (as needed) to obtain a credit decision. in order to assist me/us with financing. I further understand that once my application in submitted for credit I / we will receive the credit decision directly from the approving or denying bank within 7-10 business days. This notice may include; approval letter, denial letter, credit card or a shopping pass.Applicant Signature Date Co-Applicant Signature Date Select the pencil Send
