BOISE · Phone 208-658-0355 · Fax 208-658-1336 · [email protected]
MERIDIAN · Phone 208-893-5015 · Fax 208-893-5018 · [email protected]
NAMPA · Phone 208-467-1441 · Fax 208-467-1421 · [email protected]
CALDWELL · Phone 208-453-9290 · Fax 208-453-9291 · [email protected]
FRUITLAND · Phone 208-452-6274 · Fax 208-452-6307 · [email protected]
Please fax or email your
completed application to
the office of your choice.
Date ____________ Amount Requested ______________ Purpose of Loan _______________________ Referred by? ___________________
Personal Information
_______________________________________________________________________________________________________________________________
Applicant First Name
Initial
Last
Social Sec #
Date of Birth
Phone #
Driver’s License #
_______________________________________________________________________________________________
Co-Applicant First Name
Initial
Last
Social Sec #
Date of Birth
Phone #
Driver’s License #
_______________________________________________________________________________________________
Current Address
City
State
Zip
Time at Address? Marital Status
# Dependents/Ages
_____________________________________________________________________________
Previous Address (if less than 3 years at current)
City
State
Zip
Military?
Time at Address?
_____________________________________________________________________________
Previous Address (if less than 3 years at above)
City
State
Zip
Y
N
Time at Address?
Employment Information (Please include 3 years of history)
________________________________________________________________________________________________
Current Employer
Address
Phone
Time on the Job
________________________________________________________________________________________________
Position
Hrs/week
Hrly Rate
Gross Monthly Income
Net Monthly Income
Pay Schedule
________________________________________________________________________________________________
Other Income
Source
Previous Employer
Time on the Job
Previous Employer
Time on the Job
Employment Information – Co-Applicant (Please include 3 years of history)
________________________________________________________________________________________________
Current Employer
Address
Phone
Time on the Job
________________________________________________________________________________________________
Position
Hrs/week
Hrly Rate
Gross Monthly Income
Net Monthly Income
Pay Schedule
________________________________________________________________________________________________
Other Income
Source
Office Use Only
Previous Employer
Time on the Job
Employment Verification - Applicant
Previous Employer
Office Use Only
Time on the Job
Employment Verification – Co-Applicant
_______ _________ ___________ ___________
_______ _________ ___________ ___________
Hire Date
Hire Date
Full/Part Time Contact
Date Verified
Full/Part Time Contact
Date Verified
Collateral
_____________________________ _______________________
VIN#
Registered Owner
_____ ____________ ___________ _________ __________
Year
Make
Model
Trim (LX, LS) Mileage
Idaho Title
Yes or No
Branded?
Yes or
No
Title Free & Clear?
Yes or No
__________ Mark applicable:
2dr
4dr
4x4
diesel
Color
ext. cab
crew cab
_____________________________ _______________________
VIN#
Registered Owner
_____ ____________ ___________ _________ __________
Year
Make
Office use only
Model
Trim (LX, LS) Mileage
Vehicle Loan Value Info
Idaho Title
Yes or No
Branded?
Yes or
No
Title Free & Clear?
Yes or No
__________ Mark applicable:
2dr
4dr
4x4
diesel
Color
ext. cab
crew cab
Office use only
Vehicle Loan Value Info
___________ _______ _______ ___________
___________ _______ _______ ___________
NADA value
NADA value
age deduct miles deduct CF loan value
age deduct miles deduct CF loan value
References
Name
Phone #
Relation
_____________________ _____________________ ___________
Name
Phone #
Relation
_____________________ _____________________ ___________
_____________________ _____________________ ___________
_____________________ _____________________ ___________
Financial Information
Do you have a checking account?
Y
N
Ever file for Bankruptcy?
Y
N
Ever had a repossession?
Y
N Year __________ Company__________________________
Type of Expense
Chapter
Financial Institution ___________________________
7
13 Year Filed __________ Discharged
Creditor
Balance
Y
N Reason: _____________________
Minimum Payment
Comments
Housing Pmt/Rent
Auto Loan
Auto Ins.
Child Support
Daycare
Medical
Credit Cards
Gas (heat)
Sewer/Water/Trash
Power
Cell Phone
Cable/Dish/Internet
Rent to Owns
Check Cashing Loans
Payday Loans
Title Loans
Federal Tax Liens
State Tax Liens
Garnishments
Groceries
food/household items
Other (explain)
CF proposed loan pmt
Office use only
Debt to Income Ratio
Pre Loan
W/Loan
Total Income
Total Debt
Debt to Inc. Ratio
X______________________________________________Borrower
X________________________________________________Co-Borrower
I hereby authorize the lender/ Broker to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my loan
application. I further authorize the Lender/ Broker to order a consumer credit report and verify other information, including past and present mortgage and landlord references. It is understood that a
copy of this form will also serve as authorization. The information the Lender/ Broker obtains is only to be used in the processing of my application for a loan.