Application for Credit

ALL FIELDS MUST BE FILLED OUT

Business Application

 

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Business Name:

Address:

City:                       State:

   

Phone:

President:

Vice President:

Secretary:

 

 

 

Applicant

Name of Bank (Business account):

Account Number:

Bank Phone:

Trade Reference:

Trade Reference Phone:

Years in Business:

Gross Sales:

Net Sales:

 

Name:

Address:

City:

State:

Home Phone:

Previous Address:

City:

State:

DOB:

Social Security#:

Own Rent Live with Family

Mortgage Amount:

How Long:

Additional Income:

Source:

Employer Phone:

 
Co-applicant

 

Name:

Address:

City:

State:

Previous Address:

City:

State:

Home Phone:

Previous Employer if less than 3 years:

Previous Employer Phone:

 

 

 

 

Vehicle Information

  

 

DOB:

Social Security #:

Own Rent Live with Family

Mortgage Amount:

How Long:

Additional Income:

Source:

Current Employer:

How long:

Employer Phone:

Position:

Salary:

 

 

Year:

Model:

Selling Price:

Sales Tax:

Amount Financed:

Trade:

Make:

Mileage:

Down Payment:

Security Deposit:

Term:

Value:

YOU MUST READ THIS STATEMENT AND CHECK THE BOX FOR THIS APPLICATION TO BE PROCESSED

Everything I have stated in this application is true to the best of my knowledge. I authorize Banks, Trade references, Financial institutions and Employers to release Credit information to Viking Coachworks, Inc. and its Assignees.

Applicant Sign_______________________Date______________

Co-Applicant Sign______________________Date____________

2300 Old Lake Mary Rd.

Sanford, FL 32771

Phone 407-321-2020

©2001 Vikingcoachworks.com, All rights reserved