Martinez Custom Fence Loan App

Loan Application
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What type of loan are you requesting?
Are you applying for a loan to purchase fencing?
Are you applying Individually or Joint?
Do we have permission to speak with Martinez Custom Fence Co. in regards to this application?
Name of contact person at Martinez Custom Fencing:
Total job cost:
Down Payment Amount:
Loan Amount Requested:
Describe purchase:
Include details such as fence type, purpose and improvement.
Do you own the home you are making an improvement to?
Additional Comments:
Applicant Information
Current member?
Name

First NameLast Name
Birth Date

MonthDayYear
SSN:
Marital Status:
E-mail
Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rent or Own?
How long have you lived in your given address?
Monthly rent/mortgage
Applicant Employment Information
Present Employer
Occupation
Employer Start Date:
If less than 2 years, please list past employment:
Gross monthly income - NOTICE: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
Applicant Reference
FULL NAME of closest Relative (not living in your home).
Relationship to Applicant:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Co-Applicant Information

Complete only if this is for Joint-Application.
Current member?
Name

First NameLast Name
Birth Date

MonthDayYear
SSN:
Marital Status:
E-mail
example@example.com
Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rent or Own?
How long have you lived in your given address?
Monthly rent/mortgage
Co-Applicant Employment Information
Present Employer
Occupation
Employer Start Date:
If less than 2 years, please list past employment:
Gross monthly income
Co-Applicant Reference
FULL NAME of Closest Relative (not living in your home).
Relationship to Applicant:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Agreement & Disclosure
I authorize prospective Credit Grantors/Lending/Leasing Companies to obtain personal and credit information about me from my employer and credit bureau, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application, will be referred to in connection with this lease and any other relationships we may establish from time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies. *
I hereby agree that the information given is true, accurate and complete as of the date of this application submission. *
Primary Signature:
Co-Borrower Signature:
Should be Empty:

Loan Application

Applicant Information

Applicant Employment Information

Applicant Reference

Co-Applicant Information

Co-Applicant Employment Information

Co-Applicant Reference

Agreement & Disclosure