Transportation: Handout 3

LOAN APPLICATION INFORMATION SHEET

If you are applying with a co-applicant, you will need to obtain similar information on that person.

Social Security number:______________________

Address:_________________________________________________________________

How long have you lived there?___________________

Do you rent_____ or own_____ Monthly payment:________________

If rent, name and phone number of your landlord:_________________________________

If own, name and phone number of mortgage company:____________________________

Previous address:________________________________________________________

Time at previous address:___________________

Current employer:_______________________________ How long?________________

Employer address and phone number:__________________________________________

Occupation:_______________________ Income:________________________

Additional income:______________________

You do not have to disclose income from child support, alimony, or maintenance payments. You may have to supply a W-2 form or recent pay stubs.

Past Employers Address Phone# Time employed

1.______________________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________

Credit Cards Address Account# Balance

1.______________________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________

Bank name:______________________________

Checking account#____________________ Savings Account#_____________________

Other loans (student, other car loans, etc.) provide name of lender, address, balance and monthly payment:

________________________________________________________________________