Last Name
First Name
Middle Name
Date of Birth
Social Security Number
Home Phone
Cell Phone
Apt. Number
State / Province / Region
ZIP / Postal Code
Years at This Address
Months at This Address
If less than 1 year, list previous address
0 /
Landlord’s Name
Apartment Name
Landlord-Apt. Phone
Rent/Morgage Payment
Employer Phone
Current Employment Years
Current Employment Months
Monthly Gross Income $
Previous Employer, if at current job less than 1 year
0 /
Previous Employment Years
Previous Employment Months
Other Income $
Source of Other Income
Joint-Applicant Last Name
Joint-Applicant First Name
Joint-Applicant Middle Name
Joint-Applicant Date of Birth
Joint-Applicant Social Security Number
Joint-Applicant Home Phone
Joint-Applicant Cell Phone
Joint-Applicant Address
Joint-Applicant Apt. Number
State / Province / Region
ZIP / Postal Code
Joint-Applicant Years at This Address
Joint-Applicant Months at This Address
Joint-Applicant Landlord's Name
Joint-Applicant Apartment Name
Joint-Applicant Landlord-Apt. Phone
Joint-Applicant Employer
Joint-Applicant Employer Phone
Joint-Applicant Position
Joint-Applicant Current Employment Years
Joint-Applicant Employment Months
Joint-Applicant Monthly Gross Income $
Joint-Applicant Previous Employer, if at current job less than 1 year
Joint-Applicant Previous Employment Years
Joint-Applicant Previous Employment Months
Joint-Applicant Other Income $
Joint-Applicant Source of Other Income
Loan Purpose
Amount Requested $
Monthly Payment $
0 /

The words "we," "us," "our" and "ours" as used below refer to us, FinancePoint. You understand and agree that you are applying for credit by providing the information to complete and submit this credit application. We may keep this application and any other application submitted to us and information about you whether or not the application is approved. You certify that the information on the application and in any other application submitted to us, is true and complete.You understand that false statements may subject you to criminal penalties. The words "you," "your" and "yours" mean each person submitting this application.

This application will be reviewed us. You agree that we may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction. You also agree that we or any affiliate of ours may obtain one or more consumer credit reports on you at any time during the term of your financing. If you ask, you will be told whether a credit report was requested,and if so, the name and address of any credit bureau from which we or our affiliate obtained your credit report.

You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information. You further authorize us to gather whatever credit and employment history each considers necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction. You understand that we will rely on the information in this credit application in making our decision. We may monitor and record telephone calls regarding your account for quality assurance, compliance,training, or similar purposes.

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