Getten Credit Co

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Getten Credit Company

Applicants

"Write loans in Greater Twin City area. MN Only"

Amount Request $:		Date:
Full Name:		Social Security #:
Spouse:		Social Security #:
Date of Birth: Applicant		Date of Birth: Spouse
Home Address:
Rent/Own		Payment:
Cell Phone:		Home Phone:
Years in City:		Martial Status:
Number of Children:		Age:
Previous Address:

Applicant’s Employer:		Length of Employment:		Monthly Salary:
Spouses Employer:		Length of Employment:		Monthly Salary:
Prevouse Employer:		Length of Employment:		Monthly Salary:

Other Income:		Other Collateral:

Description of Security:

Title #:		Plate #:
VIN #:		Mileage:
Year:		Make:
Model:

List below contracts or loans on which you are now making payments (Auto, trucks, appliances, furniture, real estate etc.)and also any unpaid medical bills, credit cards, and balances.

Name of Bank/ Credit Card	Type of Article Financed	Unpaid Balance	Monthly Payment

Any Bankruptcies:		When:
Collections?:		When:
Chapter 13’s:		When:

REASON FOR LOAN:

I have read the foregoing Questions and Answers all of which I represent are true and correct and were made by me for the purpose of Obtaining credit. I am under no legal disability, and am of legal age, 18 year or more old.

Yes No

Home\| About Us \| Application \| Contact Us \| Pictures CopyRight 2008

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CopyRight 2008