Credit Application

Credit Application

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If you rent, please request the property owner to fill out this form. Financing can only be obtained by the property owner.
Do you own or rent? *

Own Rent
Do you own your home outright? *

Yes No
Do you have a mortgage? *

Yes No
Have you requested a Total Restoration and Contracting estimate yet? *

Yes No
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
Applicant's Personal Information
Name Applicant 1 *

First Name Last Name
Date of Birth *
Email *
Phone Number *
Name Applicant 2

First Name Last Name
Date of Birth
Homeowner Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Property Address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.

Employment Information

Attention Applicant: Verifying your employment/income information is a required part of our application approval process, leaving any field blank or providing any false or misleading information will cause your application to be rejected.
Retired?

Yes No
Employer Name Applicant 1
Years on the Job
Occupation
Gross Income
Employer Name Applicant 2
Years on the Job
Occupation
Gross Income
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.

Financing Requests
What would you like financed?

Select All Roof Replacement Roof Repair Vinyl Siding Soffit & Fascia
Disclaimer

The information I have provided is true and correct to the best of my knowledge. I hereby authorize Total Restoration and Contracting to verify the information I have provided and to obtain a consumer investigative credit report on myself and on all additional co/applicants.
Name *

First Name Last Name
Signature *

Clear
Date *
Name

First Name Last Name
Signature

Clear
Date
This form requires personal information from the applicants provided to various lending institutions and credit reporting agencies. While we do not share your information beyond those companies that help facilitate the loan and lending process, please read our Terms and Privacy Policy for what we do with that information.
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Applicant's Personal Information