Credit Application

Personal Information:

• Full name
• Address
• Phone number
• Email address

Employment Information:

• Employer’s name
• Employer’s address
• Employer’s phone number
• Job title
• Number of years employed

Financial Information:

• Current monthly income
• Monthly expenses
• Assets
• Liabilities

Other Information:

• Social Security number
• Driver’s license number
• Number of dependents
• Credit history
• Reason for applying for credit

Signatures:

• Applicant’s signature
• Co-applicant’s signature (if applicable)

Date:

Additional Information:

• Proof of income (e.g., pay stub, tax return)
• Proof of employment (e.g., employer verification letter)
• References
• Collateral (if required)

Instructions:

Please complete all sections of this application carefully and legibly. All information requested is necessary for the credit application process. Provide accurate and complete information, and sign the application in the designated areas.

Note: This is a sample credit application and may vary depending on the lender.