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All American Heating And Air
Credit Application
*
Type of Credit
Joint Credit
Individual Credit
Applicant
*
Last Name
*
First Name
*
Middle Initial
*
Date of Birth (mm/dd/yyyy)
*
Social Security Number
*
Current Street Address
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City
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State
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Zip Code
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Length of Time at Address (yrs/months)
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Previous Street Address (if less than 2 years ago)
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City, State, Zip
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Length of Time at Address (yrs/months)
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Home Phone
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Cell Phone
*
Email
*
Number of Dependents
*
Buy or Rent?
Buy
Rent
Other
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Landlord or Mortgage Holder
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Monthly Mortgage or Rent Payment ($)
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If Homeowner, Purchase Price of Property ($)
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If Homeowner, Estimated Home Value ($)
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If Homeowner, Mortgage Balance ($)
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Employer Name and Address
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Job Title
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Length of Employment (yrs/months)
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Work Phone
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Monthly Gross Income ($)
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Monthly Net Income ($)
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Previous Employer
*
Length of Employment (yrs/months)
*
All Other Monthly Income** ($)
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**A Note About Other Income
"Income from alimony, child support, or separate maintenance need not be revealed if you do not choose to rely on such income in applying for credit."
*
Source of Other Income
*
Total Gross Monthly Income ($)
*
Total Net Monthly Income ($)
*
Has Applicant Taken Bankruptcy in last 7 years?
No
Yes
*
If "Yes," Indicate Year Taken
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Bank Reference Name & Full Address
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Type of Account
Checking
Savings
Loan
Other
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If "Other," Please Indicate Type of Account
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Personal Reference Name and Full Address
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Personal Reference Phone Number
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Relationship to Personal Reference
*
Are you a co-maker, endorser, or guarantor on any loan or contract?
No
Yes
*
If Yes, to whom?
*
Are you liable to pay alimony, child support, or separate maintenance?
No
Yes
*
If Yes, Monthly Amount ($)
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Auto 1 (Year/Model)
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Financed By?
*
Applicant or Co-Applicant on Loan?
Applicant
Co-Applicant
*
Auto 2 (Year/Model)
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Financed By?
*
Applicant or Co-Applicant on Loan?
Applicant
Co-Applicant
Co-Applicant
*
Last Name
*
First Name
*
Middle Initial
*
Date of Birth (mm/dd/yyyy)
*
Social Security Number
*
Current Street Address
*
City
*
State
*
Zip Code
*
Length of Time at Address (yrs/months)
*
Home Phone
*
Number of Dependents
*
Buy or Rent?
Buy
Rent
Other
*
Monthly Mortgage or Rent Payment ($)
*
Employer Name and Address
*
Job Title
*
Length of Employment (yrs/months)
*
Work Phone
*
Monthly Gross Income ($)
*
Monthly Net Income ($)
*
Previous Employer
*
Length of Employment (yrs/months)
*
All Other Monthly Income ($)**
_
**A Note about Other Income
Income from alimony, child support, or separate maintenance need not be revealed if you do not choose to rely on such income in applying for credit.
*
Source of Other Income
*
Total Gross Monthly Income ($)
*
Total Net Monthly Income ($)
*
Has Co-Applicant Taken Bankruptcy within Last 7 Years?
No
Yes
*
If "Yes," Indicate Year Taken
*
Bank Reference Name and Address
*
Type of Account
Checking
Savings
Loan
Other
*
If "Other," Please Indicate What Type of Account
*
Personal Reference Name and Address
*
Personal Reference Phone
*
Are you a co-maker, endorser, or guarantor on any loan or contract?
No
Yes
*
If "Yes," To Whom?
*
Are you liable to pay alimony, child support, or separate maintenance?
No
Yes
*
If "Yes," Monthly Amount ($)
*
Enter Auth Code
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Columbia, Northeast 788-6681 Garners Ferry, Downtown 776-5838
Irmo, St. Andrews 731-2568 Cayce, West Columbia, Lexington 796-8356
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