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 ARRAGEMENTS TO KEEP YOUR ACCOUNT IN GOOD STANDINGS. IT MAY BE REQUIRED THAT YOU ROLL THIS LOAN INTO AN INSTALLMENT LOAN WITH CALHOUN FINANCE***
APPLICANT SIGNATURE
*
DATE
*
/
Month
/
Day
Year
Date
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