State 8 Motorcycles Co-Applicant Finance Application

Co-Applicant Information
Co-Applicant Name*

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

First NameMiddle NameLast 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*

MonthDayYear
Co-Applicant Social Security Number*
Co-Applicant Drivers License Number*
Co-Applicant Drivers License Expiration*

MonthDayYear
Co-Applicant Marital Status*
Co-Applicant Phone Number*

Co-Applicant Current Address Information
Co-Applicant Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
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
YesNo
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

CityState

Zip Code

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
YesNo
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.
YesNo

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

First NameMiddle NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
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: