Consumer Credit Application Form

Consumer Credit Application sample form - Your business has taken off well.  Customers are flocking to your stores and your wares are flying 

off the shelves.

The first steps to building up a great, loyal customer base are over and you are reaping in the benefits of all your hard work. 

This opens the doors to taking some steps to expand your business. 

Granting your consumers a line of credit with your shop is one way to do so. 

We’ve got you covered! 

This sample application is all you need to get the ball rolling.  Use as is or cut and paste, tailored to your needs.

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Name_______________________________________Date_______________

Address_____________________City___________State______Zip_____

How long at address___________________Own or Rent ____________

Employed by______________________________Position_____________

How long______________________________Salary $________________

No. dependents____________Type car owned_____________Year_____

Other sources of income:

___________________________________ $_______________________

___________________________________ $_______________________

Outstanding obligations:

___________________________________ $_______________________

___________________________________ $_______________________

___________________________________ $_______________________

___________________________________ $_______________________

Pending lawsuits_____________________________________________

Have you filed bankruptcy within last 6 years?_______________

Credit references:

Name______________________________Address_____________________

Name______________________________Address_____________________

Name______________________________Address_____________________

Bank references:

Name______________________________Address_____________________

Checking______________________Savings_________________________

Visa Card_____________________Master Card_____________________

American Express______________Other Credit Cards______________

NOTICE

When making application for credit, it is understood that an investigation may be made whereby information is obtained through personal interviews with your neighbors, friends, or others with whom you are acquainted. This inquiry includes information as to your character, general reputation, personal characteristics, and mode of living. You have a right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.


Related Pages
Consumer Credit Application
New Business Announcement for Use with Credit Application
Notice of Approval of New Credit Account Letter

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Request for Information on a Non Agency Credit Denial
Notice of Credit Limit Conversion to COD Letter
Disclosure of Investigative Consumer Reports

Exit Consumer Credit Application Form - See More Sample Business Letters