Smith's Enterprise

9269 Dunn Rd
Salemburg, NC
phone:(910)567-6542
fax:(910)567-2840

CITY FINANCE CO

9269 DUNN RD

SALEMBURG, NC  28385

910-567-5800

CREDIT APPLICATION


APPLICATION TYPE

MARITAL STATUS


 SINGLE/PRIMARY APPLICANT

NAME        D.O.B.     SS#     DL# 

ADDRESS:

CITY:    STATE:      ZIP: 

COUNTY OF RESIDENCE:      HOME #     CELL# 

OWN/RENT:      RENT AMOUNT:$    HOW LONG AT ADDRESS: 

E-MAIL ADDRESS:


SPOUSAL INFORMATION (REQUIRED IF MARRIED)

NAME        D.O.B.     SS#      DL# 

ADDRESS:

CITY:    STATE:      ZIP: 

 

MORTGAGE COMPANY/LANDLORD INFORMATION

NAME       

ADDRESS:

CITY:    STATE:      ZIP: 


PREVIOUS ADDRESS (IF LESS THAN 5 YEARS AT CURRENT)

ADDRESS:

CITY:    STATE:      ZIP: 


PRIMARY APPLICANTS EMPLOYMENT

EMPLOYER:   

ADDRESS:

CITY:    STATE:      ZIP: 

PHONE:      HOW LONG:

TAKE HOME PAY $     HOW OFTEN?  


SPOUSAL EMPLOYMENT

EMPLOYER:   

ADDRESS:

CITY:    STATE:      ZIP: 

PHONE:      HOW LONG:

TAKE HOME PAY $     HOW OFTEN?  


ADDITIONAL INCOME/INFORMATION ADDITIONAL INCOME

HAVE YOU EVER FILED BANKRUPTCY? IF YES WHAT YEAR?

DO YOU HAVE ANY JUDGEMENTS AGAINST YOU?


NEAREST RELATIVE NOT LIVING WITH YOU

NAME       RELATION:      HOME # 


DOWN PAYMENT/MONTHLY PAYMENT

HOW MUCH CAN YOU PAY DOWN? 

HOW MUCH CAN YOU PAY MONTHLY? 

 

 


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