Retail Credit Application

Personal

Applicant

General Information - Applicant

First Name
Middle Initial:
Last Name:
Social Security Number:
ITIN #:
Date of Birth:
Address:
Zip:
City:
State:
Years Months
Monthly Payment:
Own or Rent:
Telephone Number:
Cell Phone Number:
Email Address:
Landlord Name:
Landlord Phone #:
Previous Address:
Zip:
City:
State:

Employment Information - Applicant

Employer Name:
Occupation:
Years Months
Years Month

Co Applicant

General Information - CoApplicant

First Name
Middle Initial:
Last Name:
Social Security Number:
ITIN #:
Date of Birth:
Address:
Zip:
City:
State:
Years Months
Monthly Payment:
Own or Rent:
Telephone Number:
Cell Phone Number:
Email Address:
Landlord Name:
Landlord Phone #:
Previous Address:
Zip:
City:
State:

Employment Information - CoApplicant

Employer Name:
Occupation:
Years Months
Years Month

American Finance, LLC
Authorization for Release of Information

Everything that I have stated in this application is correct and true to the best of my knowledge. I understand that you will retain this information whether or not I am extended credit. I am informed that you may request a consumer (credit) report and/or obtain direct credit verifications from any previous, present or future creditors. If I ask, you will inform me if a consumer report was requested and the name and address of the consumer reporting agency that furnished the report. You are authorized to check my credit, verify my identity, verify my employment history and answer questions about your credit experience with me. I hereby authorize the release of any and all requested information to American Finance, LLC, its affiliates, partners, or assignees for the purpose of initial processing and future continuing maintenance of my motor vehicle retail installment sales contract and application. Requested information may include, but is not limited to, verification of savings/depository account balances, employment status, position, shift, department, employment history, and earnings records. I understand that this information will be kept in strict confidence. I have read and acknowledge receipt of the Privacy Notice. If I provide you with a cell phone and/or email address now or in the future, I am authorizing you to contact me via phone call, text and/or email. An original or copy of this form shall be considered valid authorization for American Finance, LLC to request and any of my previous, present or future creditors to release the above-referenced information.

Applicant:
Co-Applicant:
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