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Longhorn Ranch Trailer Sales Customer Credit Application

 

About The Applicant

First Name Last Name
Current Street Address
City State ZIP Years There:
Mortgage w/ which Bank Balance Payment Per Month
Home Phone Work Cell
Previous Address (If less then 2 years at current address) Years There
Employers Name Occupation
Employers Address Years There
Have you had Any judgements, foreclosures, or bankruptcies in the past 10 years? Yes No Gross Monthly Income
Explain:
Previous Employer (if less then 3 years at current Employer) Years There
Other Income Sources (Alimony, Rent, Etc) Years There
**Other income sources need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Name of Nearest Relative (not living with you) Phone
Address

About the Co-Applicant

First Name Last Name
Current Street Address
City State ZIP Years There:
Mortgage w/ which Bank Balance Payment Per Month
Home Phone Work Cell
Previous Address (If less then 2 years at current address) Years There
Employers Name Occupation
Employers Address Years There
Have you had Any judgements, foreclosures, or bankruptcies in the past 10 years? Yes No Gross Monthly Income
Explain:
Previous Employer (if less then 3 years at current Employer) Years There
Other Income Sources (Alimony, Rent, Etc) Years There
**Other income sources need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Name of Nearest Relative (not living with you) Phone
Address

Everything I have stated on this application is true to the best of my knowledge and is given for the purpose of obtaining credit. I understand Longhorn Ranch Trailer Sales. will retain this application whether or not it is approved. Longhorn Ranch Trailer Sales and any other creditor or prospective creditor of the undersigned are authorized to make investigations concerning the undersigned or concerning the above information and to disclose to each other the information set forth above and the results of such information.

Applicant Date Co-Applicant Date
I agree I agree

Kansas laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. Kansas Civil Rights Commission administers compliance with this law.

 

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