State 8 Motorcycles Co-Applicant Finance Application

Co-Applicant Information
Co-Applicant Name *

First Name Middle Name Last Name
Co-Applicant Email *
example@example.com
Name of Person You Are Co-Signing For *

First Name Middle Name Last Name
Applicant Phone Number *
Relationship to Applicant *
Store Location *
Permission to Retreive Credit History
Box Name

Co-Applicant Personal Information
Co-Applicant Date of Birth *

- Month - Day Year
Co-Applicant Social Security Number *
Co-Applicant Drivers License Number *
Co-Applicant Drivers License Expiration *

- Month - Day Year
Co-Applicant Marital Status *
Co-Applicant Phone Number *

Co-Applicant Current Address Information

Co-Applicant Current Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Co-Applicant Residential Status *
How Long Has the Co-Applicant Lived at this Address? *
Please enter specifically such as total time in weeks, months, or years
Monthly Payment Amount *
Example: $900.00
Name of Landlord or Mortgage Holder *

Co-Applicant Previous Address Information
Has the Co-Applicant Lived at Another Address? *

Yes No
How Long Did The Co-Applicant Live at This Address? *
Please enter specifically such as total time in weeks, months, or years

Co-Applicant Previous Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Co-Applicant Current Employment Information
Co-Applicant Employer Name *
Co-Applicant Occupation *
Co-Applicant Work Phone Number *
How Long Has The Co-Applicant Worked at This Employer? *
Please enter specifically such as total time in weeks, months, or years
Yearly Income Amount *
Example: $45,000.00

Co-Applicant Previous Employment Information
Has The Co-Applicant Worked at a Previous Place of Employment *

Yes No
Co-Applicant Previous Employer Name *
Co-Applicant Previous Occupation *
Co-Applicant Previous Work Phone Number *
How Long Did The Co-Applicant Work at this Employer? *
Please enter specifically such as total time in weeks, months, or years
Yearly Income Amount *
Example: $45,000.00

Co-Applicant Additional Income

Alimony, child support or seperate maintenance income need not be revealed if you not wish to have it considered as a basis for repaying this debt.
Do You Have An Additional Income Sources? *

Yes No

Co-Applicant Relative Information
Name of Nearest Relative (Not Living With You) *

First Name Middle Name Last Name
Relationship *

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Phone Number *

Review Application Details

Please review your Finance Application details below - If everything looks correct, press the submit button to complete the application.

Co-Applicant Information
Name of Co-Applicant	{coapplicantName}
Email of Co-Applicant	{coapplicantEmail}
Name of Original Applicant	{nameOf199}
Relationship to Applicant	{relationshipTo201}
Store Location	{storeLocation}
Co-Applicant Personal Information
Date of Birth	{coapplicantDate}
Social Security #	xxx-xx-xxxx
Drivers License Number	{coapplicantDrivers}
Drivers License Expiration	{coapplicantDrivers149}
Marital Status	{coapplicantMarital}
Phone Number	{coapplicantPhone}
Co-Applicant Current Address Information
Current Address	{coapplicantCurrent}
Residential Status	{coapplicantResidential}
How Long Have Co-Applicant Lived Here	{howLong}
Monthly Payment Amount	{monthlyPayment157}
Name of Landlord or Mortage Holder	{nameOf158}
Co-Applicant Previous Address Information
Lived at a Previous Address	{hasThe}
How Long	{howLong205}
Previous Address Information	{coapplicantPrevious}
Co-Applicant Current Employer Information
Current Employer Name	{coapplicantEmployer}
Current Occupation	{coapplicantOccupation}
Work Phone Number	{coapplicantWork}
How Long Has Co-Applicant Worked Here	{howLong206}
Yearly Income	{yearlyIncome170}
Co-Applicant Previous Employer Information
Previous Employment	{hasThe173}
Previous Employer Name	{coapplicantPrevious174}
Previous Occupation	{coapplicantPrevious175}
Previous Work Phone Number	{coapplicantPrevious177}
How Long Did Co-Applicant Work Here	{howLong207}
Yearly Income	{yearlyIncome179}
Co-Applicant Additional Income
Additional Income Sources	{doYou}
{configurableList}
Co-Applicant Relative Information
Name of Nearest Relative	{nameOf186}
Relationship	{relationship187}
Address of Relative	{address188}
Phone Number of Relative	{phoneNumber189}

Should be Empty: