DWN-N-OUT CREDIT APPLICATION

APPLICATION FOR CREDIT
DWNNOUT
Financial Services

JOINT CREDITINDIVIDUAL CREDIT
Please complete all appropriate sections, providing at least two years residence and employment history. (If additional space is needed, please use back of this application READ TO APPLICANT: "If married, you have the right to apply for credit separately from or jointly with your spouse."
What motorcycle are you applying for?
What range is your credit score

680+620 - 679580 -619579 or below
Down Payment Amount Requested (optional)
If left blank, We will see what the banks minimum requirement comes back with. Trade ins accepted as well
First and Last Name
Social Security No.
Date of Birth

MonthDayYear
Date
Phone Number
Email
We will not send you spam or solicit your email address. This is needed to send E-contracts and payment info if approved
Resedence Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Long at Current Address?
Previous Address: (if less than 2 years)
Mortgage or Rent Payment
Ownership?

Paid off houseMortgageRentLiving Rent FreeOther
Employer's Name
Position
Employment Date

MonthDayYear
Date
GROSS Monthly Income
Monthly Income (before taxes)
Work Phone Number
Previous Employer (if less than 2 years)
Employment Date

MonthDayYear
Date
Other Monthly Income
Source(s) of Other Income (S.S., VA, Child Support, etc...)
Other

ApplicantCo-applicant
CO APPLICANT: Name (First and Last Name)
Social Security No.
Date of Birth

MonthDayYear
Date
Residence Address: (Street, City, State, Zip)
How Long?
Rent

Rent or PaymentOwn
Phone Number
Employer's Name
Occupation
Employment Date

MonthDayYear
Date
GROSS Monthly Income
Previous Employer (if less than 2 years)
Employment Date

MonthDayYear
Date
All Other Monthly Income
Source(s) of Other Income
Personal Reference (Relative or Friend) Name

Are you a co-maker or endorser on a note?NoYesAre you obligated to pay alimony, child support, etc.?NoYesPhone No.
I/We the undersigned Applicant(s) for credit do hereby affirm that the information contained in this application is true and correct in all respects and I/we understand that it will be relied upon by Lendmark Financial Services, LLC, its subsidiaries and affiliates ("Lendmark"), and any seller of goods who may be assigning a retail installment sales contract to Lendmark ("Seller"), in making the decision to extend credit to me/us. I/we authorize Lendmark and Seller, if applicable, to make whatever inquiries they deem necessary to verify the information contained in this application, including, but not limited to, obtaining my/our personal credit reports. I/we authorize any person or credit reporting agency to provide have theyabout me/us in response to such inquiries and agree that such information, together with this application, shall be the property of Lendmark any may and Seller, as applicable, whether or not credit is extended. I/we consent to Lendmark calling or sending me/us a text message at any phone number(s) listed in this application, or such other phone number(s) as I/we may later provide. This consent shall include making calls using an automatic telephone dialing system or an artificialorvoice prerecorded message.
Applicant's Signature

Clear
Date

MonthDayYear
Date
Driver's License No. and State (or State I.D. No.)
Optional
Motorcycle Endorsement? (not required)

YesNo
Co applicant's Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR CREDIT

DWNNOUT