8669 Mason Drive (M-37)
Newaygo, MI 49337
Phone 231-652-1321
NEW INVENTORY
USED INVENTORY
Credit Application
First Name
Last Name
Dependents
Date of Birth
Social Security #
Drivers License
Address
Phone
County
City
State/Prov
Zip
Email
Employer
Name
Occupation
City, State, Zip
Time on the Job (years)
Phone Number
Annual Salary
Source of other Income
Amount per Month
Creditor Information
Landlord/Mortgage Holder
Creditors
Payment
Monthly Mortgage or Rent
1
Personal Bank
2
Personal Banking
Checking
Savings
3
Do you pay child support or alimony?
Ever filed for bankruptcy?
Yes
No
If so what is your monthly payment?
Joint Applicant
First Name
Last Name
Relation
Date of Birth
Social Security #
Drivers License
Address
Phone
County
City
State/Prov
Zip
Joint Applicant Employer
Name
Occupation
City, State, Zip
Time on the Job (years)
Phone Number
Annual Salary
Source of Other Income
Amount per Month
Ever filed for bankruptcy?
Yes
No
Do you pay child support or alimony?
Yes
No
Monthly Payment
I / We certify that the above information is true and complete to the best of my/our knowledge
