CoolNow™ Credit Application Form

Personal Information

First, we'll need your personal information. But don't worry, we'll keep it secured.
What's Your Full Name

First NameMiddle NameLast NameSuffix
What's Your Phone Number
e.g. (123) 456-7890Format: (000) 000-0000.
What's Your Email
What's Your Address

Street Address

Street Address Line 2

CityState

Zip Code
Which County are you in?
Select your County
What's your Date of Birth?

MonthDayYear
What's your Social Security Number
Enter Your SSN no commas or separations
What's your Driver's License Number
Enter Your DL no commas or separations
Where was your Driver's License Issued?
Please select
When was your Driver's License Issued?

MonthDayYear
When does your Driver's License Expire?

YearMonthDay
Property Information

Now, we'll need some information about your property to match you with the best financing option for your situation
Are you listed on the Property Title?
Anyone else on the Title?
If Yes, who?
What's their Full Name?

First NameLast Name
What's their Email address?
What's their Phone Number?
e.g. (123) 456-7890Format: (000) 000-0000.
What's their Date of Birth?

MonthDayYear
What's their SSN?
Enter Your SSN no commas or separations
What's their Driver's License Number
Enter Your DL no commas or separations
Where was your Driver's License Issued?
Please select
Are your mortgage payments up-to-date?
Who's your Mortgage Lender?
How much is your Mortgage payment monthly?
Are your Property Taxes on time the last 3 years?
Do you carry Homeowners Insurance?
Financial Information

Now, we'll need to ask you some financial questions to match you up with a the best financing option that better suits your actual situation
What's your Employment Status?
E.g. Employed, Retired
What's your Main Income source?
Employer / Company Name
Employer/Company Phone Number
e.g. (123) 456-7890Format: (000) 000-0000.
How much do you receive per paycheck?
How often do you receive it?

Other
Date of your last paycheck?

MonthDayYear
What's your position?
How long working at this job?
Any other source of income?
If so, how much per month?
All your extra income combined
What's your house hold monthly income?
e.g. spouse income, daughter/son income.
What's your Credit Score?
Co-applicant

Some lenders require additional title holders to be included in the application as a co-applicant. Adding a co-applicant may improve your chances for approval and don't necessarily need to be listed as an additional title holder.
Do you want to include a Co-applicant?
Who would you include as a Co-applicant?
What's their Full Name?

First NameLast Name
What's their Email address?
What's their Phone Number?
e.g. (123) 456-7890Format: (000) 000-0000.
What's their Birth Date?

MonthDayYear
What's their SSN?
Enter Your SSN no commas or separations
What's their Driver's License Number
Enter Your DL no commas or separations
What's their Employment Status?
E.g. Employed, Retired
What's their main income source?
Employer / Company Name
Employer/Company Phone Number
e.g. (123) 456-7890Format: (000) 000-0000.
How much do they receive per paycheck?
How often do they receive it?

Other
Date of their last paycheck?

MonthDayYear
What's their position?
Any other source of income?
If so, how much per month?
All your extra income combined
What's their Credit Score?
Bank Information

Now, we'll need to ask you some financial questions to match you up with a the best financing option that better suits your actual situation
Do you have a Bank Account?
Bank Name
Routing Number
Account Number
Account Type
Equipment Information

Lastly we need some information about your actual HVAC System
What size is your HVAC Unit?
E.g. 3 Ton
What's your HVAC Unit brand?
Type of HVAC Unit
Do you need Ductwork?
References

Please provide 2 personal references
Reference # 1 Full Name

First NameLast Name
Reference # 1 Phone Number
Format (###) ###-####Format: (000) 000-0000.
Reference # 1 City
What's your relationship with Reference #1
Reference # 2 Full Name

First NameLast Name
Reference # 2 Phone Number
Format (###) ###-####Format: (000) 000-0000.
Reference # 2 City
What's your relationship with Reference #2
If possible, please upload a picture/video of your actual Unit (Optional)

Upload pictures of your inside and outside AC unit
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Personal Information

Property Information

Financial Information

Co-applicant

Bank Information

Equipment Information

References