Sundowner of Tennessee

169 belcher road

sweetwater, tn 37874

 

(423) 337-0515 – phone

(423) 337-6511 - fax

 

 

Credit Application

Applicant Information

First, Middle & Last Name:

Date of birth:

SSN:

 

Current address:

City:

State:

ZIP Code:

Own      Rent     (Please circle)

Monthly payment or rent:

How long?

Previous address if less than 2 years at current address:

 

 

Home Phone:

Mobile Phone:

Fax Number:

Marital Status: 

married   single  other

 

 

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly   Salary  (Please circle)

Annual income:

Name of a relative not residing with you:

Address:

Phone:

City:

State:

ZIP Code:

Relationship:

 

 

 

Co-Applicant Information, if for a joint account

First, Middle & Last Name:

Date of birth:

SSN:

 

Current address:

City:

State:

ZIP Code:

Own      Rent     (Please circle)

Monthly payment or rent:

How long?

Home Phone:                                             Mobile Phone:                                        Fax Number:

 

Previous address if less than 2 years at current address:

 

 

Owned  Rented  (Please circle)

Monthly payment or rent:

How long?

CO-APPLICANT Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly   Salary  (Please circle)

Annual income:

Previous employer:

Address:

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly        Salary

Annual income:

vehicle applying for

Year:

Make:

Model:

Stock Number:

Trade-In Vehicle

Year:

VIN#:

Make:

Model:

Value:

Other Assets or Sources of Income

Description

Amount per month or value

 

 

 

 

I authorize Sundowner of Tennessee to verify the information provided on this form as to my credit and employment history.

Signature of applicant

Date

Signature of co-applicant, if for joint account

Date