Exhibit B: Credit Application
Credit Application APPLICANT INFORMATION
Name: Date of birth: Current address: City: Own Rent (Please circle) Previous address: City: Owned Rented (Please circle)
SSN:
Phone:
State: Monthly payment or rent:
ZIP Code: How long?
State: Monthly payment or rent:
ZIP Code: How long?
EMPLOYMENT INFORMATION
Current employer: Employer address: Phone: E-mail: City: State: Position: Hourly Salary (Please circle) Previous employer: Address: Phone: E-mail: City: State: Position: Hourly Salary (Please circle) Name of a relative not residing with you: Address: City: State: Relationship:
How long? Fax: ZIP Code: Annual income: How long? Fax: ZIP Code: Annual income: Phone: ZIP Code:
CREDIT CARDS
Name
Current balance
Monthly payment
PROPERTY MORTGAGE (SUBJECT PROPERTY)
Account no.:
Address: Balance
AUTO LOANS
Monthly payment
Credit Application Auto loans
Account no.
Balance
Monthly payment
OTHER LOANS, DEBTS, OR OBLIGATIONS
Description
Account no.
Amount
OTHER ASSETS OR SOURCES OF INCOME
Description
Amount per month or value
I authorize NewTown Macon to verify the information provided on this form as to my credit and employment history. Signature of applicant
Date