Manhattan Funding Credit Application

Are you an individual or a business?
INDIVIDUAL
Name Title
First & Last Name
Date of Birth

MonthDayYear
Date
Social Security
Home Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Cell
Email
example@example.com
Rent or Own?
Years at address
Mortgage Holder
Previous Address

(If less than 2 years)

Street Address Line 2

CityState

Zip
Years at previous address
EMPLOYMENT
Employed by
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone #
Title/Position
Years at company
Provable Income (may require tax returns showing this number)
Above income is based on:
Previous Employer (If less than 2 years)
Years with previous employer
Provable Add’l. Income
Provable Add’l. Income based on:
Source of Additional Income
BUSINESS
Firm’s Name
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Fax:
Nature of Business & Gross Sales
Years in Business
Fed. Tax I.D. #
Name & email address of all Officer(s) with the company and their position (below):
MISC
Dealer you are working with and any additional comments
I CERTIFY TO THE TRUTH OF MY STATEMENTS ABOVE and authorize the Dealer and any person whom this Application is delivered to obtain credit reports on me, in connection with this Application and any Account established herby, as well as any update, renewal, extension, review or collection thereof. If it does, I will, upon request, be informed of that fact and each credit bureau’s name and address. I also authorize the Dealer and any person whom this Application is delivered to verify with others any information contained in this Application and to report its transactions with me.
Signature of Applicant
Signature of Applicant
Today's Date

MonthDayYear
Date
I certify the truth of my statements above and agree to the privacy policy's terms and conditions.
Should be Empty:

INDIVIDUAL

EMPLOYMENT

BUSINESS

MISC