Credit Application

Applicant Information
Installment Loan Repayment Options:
Select the office nearest you:
 
 

Applicant

Social Security
Drivers License #
 
First Name

Last Name

 
Address

 
City:

State:
Zip:

 
Email:

Phone:

 
Date of Birth:
- -
 
 
Add a Co-Applicant

Co-Applicant

Social Security
Drivers License #
 
First Name

Last Name

 
Address

 
City:

State:
Zip:

 
Email:

Phone:

 
Date of Birth:
- -
Employment Information

Applicant

Employment Status:
Employeer Name:

 
Position

Employeer Phone:

Monthly Income:

 
 

Co-Applicant

Employment Status:
Employeer Name:

 
Position

Employeer Phone:

Monthly Income:

 
Residence Information
Do You:
Property Type:
Monthy Mortgage/Rent:

 
Mortgage Company:
Loan #:
Length of Loan:
 
Purchase Price:
Current Value:
Mortgage Balance:
 
Financial Information
Bank Name:
Account Type:
 
Do you own any of these credit cards?
Visa MasterCard American Express Discover
HMDA Information Information Used for Government Monitoring Purposes: The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or whether you choose to furnish it. However, if you choose not to furnish this information and you have made this application in person, under federal regulations, the lender is required to note ethnicity, race and sex on the basis of visual observation or surname. If you do not wish to furnish this information, please check below.

I do not wish to furnish this information
Sex:
Race:
Ethnicity:
Authorization

Check here to authorize contractor to submit credit application

I/We authorize Atlas Building Systems, Inc. ( Atlas ) or any of the companies used by Atlas for the purpose of financing purchases to make whatever inquiries it deems necessary in connection with this credit application and in the course of review or collection of any credit extended in reliance on this application. I/We further authorize any person or Consumer Reporting Agency to complete and furnish to Atlas or any of the companies Atlas uses for the purpose of financing purchases, any information that it might have or obtain in response to such inquiries,and agree that such information, along with this application shall remain the property of Atlas or any of the companies Atlas uses for the purpose of financing purchases, whether or not credit is extended. I/We understand that if I/We do not qualify for the full amount that I/We may be considered for a lesser amount. I/We understand that Atlas and/or any of the companies Atlas uses for the purpose of financing purchases may provide information about Me/Us or My/Our account to others for marketing purposes and Atlas, any company used by Atlas for the purpose of financing purchases, or the affiliate of either may offer Me/Us financial services in the future.
 




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