Credit Application

 

This Credit Application is designed for use only by California residents.

Complete this application providing all information requested below. You may also apply at any branch location or phone at (877)274-6614.

 

Applying as:

 

Notice: Income derived from alimony, child support or separate maintenance payments need not be revealed
unless the applicant desires that such income be considered in determining the applicant’s creditworthiness.

 

Please Check the Appropriate Box:

 

If you are applying for individual credit in your own name, are not married, and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete sections applying to Applicant only.

If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all sections to the extent possible, providing information in the Co-Applicant area about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

If you are married, please complete all sections including the Co-Applicant area, providing information about your spouse.

 

If you are applying for joint credit, both Applicants must initial here:

 

 

 

Loan

 

Loan Purpose:
Collateral (if any):
Year Make Model
 
VIN:
Loan Amount Desired:
$ Repayment term desired:

 

 

Information Regarding Applicant

 

Telephone number where you can be reached:

A value is required.
Additional Telephone Number:
Driver's Licesnse #:
First Name:

A value is required.
Middle Initial:
Last Name:

A value is required.
Social Security Number:
Date of Birth:
List other Social Security Numbers under which you have obtained credit:

 

 

Address

 

Address:
City:
State:
ZIP Code:
Email Address:

 

 

Residence

 

Time at Residence (years/months):
Years: Months:
Monthly Housing Payment:
$
Residence is:

If "Other" please specify:

 

 

Street Address at Previous Residence

 

Address:
City:
State:
ZIP Code:
Time at Previous Residence (years/months):
Years: Months:

 

 

Homeowners

 

Home Value: $ Amount Owed: $

 

 

Employer and Income

 

Employer:
How Long There?
Years: Months:
Position:
Work Phone:
Employer Address:
Annual Employment Gross Income (before taxes):
$ /year
Other Income:
$ /year
Source of other Income:
Address/Phone of Secondary Employer
(if applicable):

 

 

Previous Employer and Income

 

Previous Employer:
How Long There?
Years: Months:
Position:
Previous Employer Address:
Annual Employment Gross Income (before taxes) at previous employer:
$ /year

 

 

 

Please list the names, addresses, and phone numbers of TWO people who will always know your location:

 

Notice:

 

Self-Employed Applicants: If self-employed, we will require tax return documents.

 

Additional information may be required to process your loan application. In the case that additional information is required, including previous employment information, we will call you at the number listed on this application.

 

Information Regarding Co-Applicant, or any other party (if any)

 

Telephone number where you can be reached:
Additional Telephone Number:
Driver's License #:
First Name:
Middle Initial:
Last Name:
Social Security Number:
Date of Birth:
List other Social Security Numbers under which you have obtained credit:

 

 

Address

 

Address:
City:
State:
ZIP Code:
Email Address:

 

 

Residence

 

Time at Residence (years/months):
Years: Months:
Monthly Housing Payment:
$
Residence is:

If "Other" please specify:

 

Street Address at Previous Residence

 

Address:
City:
State:
ZIP Code:
Time at Previous Residence (years/months):
Years: Months:

 

 

 

Homeowners

 

Home Value: $ Amount Owed: $

 

Employer and Income

 

Employer:
How Long There?
Years: Months:
Position:
Work Phone:
Employer Address:
Annual Employment Gross Income (before taxes):
$ /year
Other Income:
$ /year
Source of other Income:
Address/Phone of Secondary Employer (if applicable):

 

 

Previous Employer and Income

 

Previous Employer:
How Long There?
Years: Months:
Position:
Previous Employer Address:
Annual Employment Gross Income (before taxes) at previous employer:
$ /year

 

 

 

Please list the name, address and phone number of a person who will always know your location:

 

 

Additonal Comments:

 

 

Signature Agreements

 

CALIFORNIA RESIDENTS: A married applicant may apply for an individual account.

 

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

 

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. I (We) understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history plus answer any questions regarding my credit experience with you. A consumer credit report may be obtained in connection with this application and may also be requested or utilized in connection with an update, renewal, or extension of credit. If I request, I will be informed: (1) whether or not consumer reports were obtained, and (2) if reports were obtained, the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports. The information I (We) have provided is true and correct, and I (We) represent that a bankruptcy proceeding is neither in progress or expected.

 

I (we) expressly consent to receive calls from automatic telephone dialing systems calls with pre-recorded voice calls and calls with artificial voice and text messages or other electronic communication for the purposes of servicing, collection, advertising, and telemarketing at the telephone number(s) I (we) provided above. I understand that approval of credit is not conditioned on my agreement to receive these calls and texts.

 

Applicant e-Signature:

 

Co-Applicant e-Signature: (if applies)

 

Today's Date: