CALHOUN FINANCE COMPANY
Credit Application for Tax Loan
NAME
ADDRESS
CITY STATE ZIP
LENGTH OF TIME AT RESIDENCE
CELL PH#
HOME PH#
DOB
EMPLOYER
EMPLOYER PH#
LENGTH OF TIME AT JOB
NET SALARY
How often do you paid? : WEEKLY, BYWEEKLY, MONTHLY
CREDIT REFERENCES
1.
2.
PERSONAL REFERENCES
1.
PH#
2.
PH#
3.
PH#
4.
PH#
LIST 3 ITEMS FOR COLLATERAL
1.
2.
3.
(TV'S, ELECTRONICS, CELL PHONES, LAWN EQUIPMENT, GUNS)
BENEFICIARY
***IF TAX LOANS ARE NOT PAID BY DUE DATE, DUE TO DELAY IN TAX REFUND,PLEASE CALL CALHOUN FINANCE TO MAKE
ARRANGEMENTS TO KEEP YOUR CREDIT IN GOOD STANDING.
APPLICANT SIGNATURE
DATE
/
Month
/
Day
Year
Date
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