GreenSky Loan Application Information Applicant Information
Requested Loan Amount (if known):
First Name*
Middle Initial
Last Name*
Date of Birth (mm/dd/yyyy)
/ Social Security Number*
Applicant Street Address*
Home Phone
Mobile Phone
Suite/Apt #
(Physical address required. No P.O. Boxes)
City*
State*
Email Address
/
Zip Code*
(If you provide an email address, GreenSky may use it to contact you about GreenSky products, services, special offers and other promotions)
Employer*
Years on the Job*
Employer Phone Number*
If Applicant is retired, enter “Retired” in the Employer field, enter “0” in the Years on Job field and enter the Applicant’s home phone number.
Income
Alimony, child support or separate maintenance payments need not be revealed if you do not wish to have them considered as a basis for repaying the loan. Married Wisconsin Residents: Combine you and your spouse’s information once.
Applicant’s Gross MONTHLY Income ($)*
Other Gross MONTHLY Income ($)
Examples: monthly salary (before taxes) alimony, child support, investment income, social security, etc.
Examples: Co-Applicant and/or spousal income (before taxes), alimony, child support, investment income, social security, etc.
Co-Applicant Information
If completed below, Applicant and Co-Applicant intend to apply for joint credit.
First Name*
Middle Initial
Last Name*
Date of Birth (mm/dd/yyyy)
/ Social Security Number*
Co-Applicant Street Address*
Home Phone
Mobile Phone
Suite/Apt #
(Physical address required. No P.O. Boxes)
City*
Email Address
/
State*
Zip Code*
(If you provide an email address, GreenSky may use it to contact you about GreenSky products, services, special offers and other promotions)
Employer*
Years on the Job*
Employer Phone Number*
Applicant Signature
X
Applicant’s Signature
Please provide a government issued picture ID to the Associate/Contractor.
Date
Co-Applicant Signature
X
If signed, Applicant and Co-Applicant intend to apply for joint credit.
Co-Applicant’s Signature
Please provide a government issued picture ID to the Associate/Contractor.
Date
TO BE COMPLETED BY SALES CONSULTANT/ASSOCIATE
Plan Number
Dealer Number
Applicant Type of ID
[
] Driver’s License
[
] State/Province Issued ID
[
] Military ID
[
[
] Driver’s License
[
] State/Province Issued ID
[
] Military ID
[
Applicant Name on ID
Co-Applicant Type of ID
Co-Applicant Name on ID
] Passport
[
] Tribal Card
(please check one)
[
] Tribal Card
(please check one)
ID Expiration Date
ID Number
] Passport
ID Expiration Date
ID Number
Sales Consultant
Name
Phone Number
Email Address
You may process the application at www.greenskycredit.com/consumer or fax to 480-287-8612.
Please see Disclosures continued on the next page - Page 1 of 2