Financing

Loan Application

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

CREDIT APPLICATION

Person Entering Application*

State Contract Written In*

Product/Service Being Financed*

Home Improvement

Excludes Water Damage

Spanish Paperwork

Repayment Terms

Type of Credit*

Downpayment

Selling Price*

Trade In

Completion Payment

Tentative Installation Date

Amount Requested

Personal Information

ID Issue Date

ID Issue Date - Additional Info

Not Present On ID

ID Issue State*

ID Issue State - Additional Info

Not Present On ID

ID Expire Date

ID Expire Date - Additional Info

Not Present On ID

Photo ID Type*

SSN #*

ID #*

First Name*

Middle Initial

Last Name*

Address 1*

Address 2

City*

State*

ZIP*

Home Phone*

Cell Phone*

App. DOB*

Type of Residence*

Home Value

Mortgage/Rent Payment

Applicant's Financials

Self-Employed*

Yes

Time at Current Position*

App. Position*

App. Employer*

App. Employer Phone #*

App. Gross Monthly Income*

Retirement/SSI

Rentals

Investments

Other Income

I/We hereby authorize...*

I/We hereby authorize THE RIGHT CHOICE HOME REMODELING INC. to submit my financing application to various financing entities (as needed) to obtain a credit decision. in order to assist me/us with financing. I further understand that once my application in submitted for credit I / we will receive the credit decision directly from the approving or denying bank within 7-10 business days. This notice may include; approval letter, denial letter, credit card or a shopping pass.

Applicant Signature

Date

Co-Applicant Signature

Date