Application for credit



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Date07.02.2018
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APPLICATION FOR CREDIT

Name of Contractor: William Coble Associates,llc. Date


Contractor Phone 9194222442 Contractor Fax 919-526-8503

Price of the Job is _______________ Down Payment is ______________ Amount Financed is _______________



Is the Property a House? Yes or No Brick or Frame? What county is the property located in?______________________________
Answer only if property a mobile home: Is it a mobile home? Yes or No Double or Single-wide? Foundation: Brick or Block Lot: Own or Rent


Applicant




Co-Applicant

Last Name:











Last Name:







First Name:














First Name:







SSN:





DOB:







SSN:




DOB:




Address:








Address:

/ YEARS:

City:


State:




Zip:







City:




State:




Zip:




Home Phone:











Home Phone:








Drivers Lic - State & # _____________________________ Drivers Lic - State & # ______________________________
Cell Phone #______________________________________ Cell Phone # _______________________________________
Email __________________________________________ Email _____________________________________________
Other Contact Info _______________________________ Other Contact Info ___________________________________
MORTGAGE INFORMATION – How long have you lived here? ____ Is there a house payment? Yes or No
What is the interest rate on your loan? _____ Who is on the title of the property? ____________________________________

1ST Mortgage Co:








Monthly Payment:

$




Balance:

$

Present Value:



$




Original Purchase Price:

$




2ND Mortgage Co:








Monthly Payment:

$




Balance:

$

EMPLOYMENT INFORMATION – Please include all income * Please provide all income verification

APPLICANT CO-APPLICANT

Employer:





Employer:




Address:









Address:




Gross Income Monthly:



$


YTD Income:

Hire Date:




Gross Income Monthly:

$

YTD Income

Hire Date:

Work Tel:



Position:





Work Tel:

Position:

Please describe other income including second job or give explanation of any type of retirement income, rentals, etc…


*If you have worked for your current employer less than 2 years, please fill out the next section*

Employer:








Employer:




Position:








Position:




Income:



$


From:

To:




Income:

$

From:

To:


Please list two personal references:
Name _____________________________ Relationship____________ City ______________ State_____ Phone __________________

Name _____________________________ Relationship____________ City ______________ State_____ Phone __________________


*APPLICANT(S)—IMPORTANT—READ BEFORE SIGNING*

I (we) certify that the above statements are true and that no unfavorable information known to me (us) for herein has been omitted. I authorize you to retain this application as your property whether or not a contract is consummated, and make any investigation you deem advisable before or after the contract is made. If credit is denied, you are entitled to a clear and meaningful statement in writing of the reasons. We give William Coble & Associates, llc. Permission to send this form to lending companies to arrange the best terms and conditions of approval of funds for the project.



The applicant certifies that the information in this credit application is true and complete and made for the purpose of obtaining a loan. The applicant authorizes the release of this credit application to third party lending institutions in order to obtain a credit report, arrange financing, and receive an application credit decision


Applicant’s Signature

Date




Co-Applicant’s Signature

Date

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