Credit Application

Credit Application
Applicant Information
Name*

First NameMiddle NameLast Name
E-mail*
Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Housing Status*

RentOwn
How long have you lived at this address?*
Social Security #:*
Birth Date*

MonthDayYear
Amount Requested*
Reason for Requesting Loan*
Employment Information
Employer's Name*
Employer's Address and Phone*
Position*
How long at this position?*
How often paid?*
Net monthly income*
Other income
Collateral:*
Co-applicant?*

YesNo

Co-Applicant Information
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Housing Status*

RentOwn
Social Security #:*
Employer's Name*
Employer's Address and Phone*
Position*
How long at this position?*
How often paid?*
Net monthly income*

I hereby agree that the information given is true, accurate and complete as of the date of this application submission. **

YES
I agree to the Terms of Use (see below)*, the e-Consent Agreement, and the Privacy Policy. (Agreement is required to continue with this application.)*

YES
*Terms of Use: Alimony, child support, or separate maintenance income need not be included if you do not want it to be considered as a basis for repaying. All loans subject to our normal credit policies. Married persons may apply for credit as an individual. If this is an application for an individual account and you are relying on your own income or assets and not the income or assets of another person for repayment of the credit requested, questions relative to marital status and to income resources and assets of the spouse’s need not be answered. However, only the applicant’s resources will be evaluated in determining credit worthiness. By submitting this application, the applicant and or co applicant authorize Franklin Finance Co, Inc. to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review, collection, refinancing, or consolidation of any credit extended in reliance on this application. You authorize and instruct any person or consumer reporting agency to compile and furnish to Franklin Finance Co, Inc. any information that it may have to obtain in response to such information along with this application, shall remain Franklin Finance Co, Inc.
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Credit Application

Applicant Information

Employment Information

Co-Applicant Information