Loan Application CREDIT APPLICATIONPerson Entering Application Product/Service Being Financed Spanish PaperworkRepayment Terms Select Term Months 12 months 18 months 24 months 36 months 48 months 60 months 72 monthsDownpayment Trade In Tentative Installation Date State Contract Written In: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Home Improvement Excludes Water DamageType of Credit Closed-end Open endSelling price Completion Payment Amount Requested Personal InformationID Issue Date Not Present On IDID Issue State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Other Not Present On IDFirst Name Middle Initial Last Name Address 1 Address 2 City State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY OtherZIP Photo ID Type Drivers License Passport Identity Card Other SSN # ID # ID Expire Date Not Present On IDHome Phone Cell Phone Email App. DOB Type of Residence Rent OwnHome Value Mortgage/Rent Payment Applicant's FinancialsSelf-Employed Yes NoApp. Position Time at Current Position Retirement/SSI Rentals Investments App. Employer App. Employer Phone # App. Gross Monthly Income Other Income 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 Select the flag Send
