APPLICANT
FIRST NAME
MIDDLE NAME
LAST NAME
DATE OF BIRTH
SOCIAL SECURITY #
HOME PHONE
MAILING ADDRESS
MARITIAL STATUS
MARRIED    SINGLE    DIVORCED
CELL PHONE
CITY
STATE
ZIP
HOW LONG?
RESIDENCE ADDRESS (IF DIFFERENT FROM MAILING)
DRIVERS LIC.#
EXP YEAR
CITY
STATE
ZIP
HOW LONG?
PREVIOUS ADDRESS (WITHIN 3 YEARS)
CITY
STATE
ZIP
HOW LONG?
NEAREST RELATIVE
FIRST NAME
MIDDLE NAME
LAST NAME
RELATIONSHIP
PHONE
ADDRESS
CITY
STATE
ZIP
EMPLOYER
EMPLOYERS NAME
ADDRESS
BUSINESS PHONE
CITY
STATE
ZIP
HOW LONG?
POSITION AND JOB TITLE
SALARY
PREVIOUS EMPLOYER (WITHIN 3 YEARS)
ADDRESS
BUSINESS PHONE
CITY
STATE
ZIP
HOW LONG?
FINANCES
ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NO WISH TO HAVE ALL CONSIDERED AS A BASIS FOR REPAYING THE OBLIGATION. ALIMONY, CHILD SUPPORT, SEPARATE MAINTENANCE RECEIVED UNDER:
SOURCE OF OTHER INCOME
AMOUNT
WEEK    MONTH   YEAR
HOW LONG?
NAME OF BANK
ADDRESS
CITY
STATE
ZIP
CHECKING IRA SAVINGS
C/CARD LOAN NO ACCT.
RENTING MORTGAGE HOLDER OR LANDLORD
BUYING
HOUSE
MOBILE HOME
COST
MONTHLY PAY
BALANCE
CO-APPLICANT
IF YOU ARE APPLYING FOR JOINT CREDIT WITH ANOTHER PERSON OR IF YOU ARE APPLYING FOR INDIVIDUAL CREDIT, BUT RELYING ON INCOME FROM ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE OR ON THE INCOME OR ASSETS OF ANOTHER PERSON AS THE BASIS FOR REPAYMENT OR THE CREDIT REQUEST, FILL IN THIS SECTION ON THAT PERSON.
FIRST NAME
MIDDLE NAME
LAST NAME
DATE OF BIRTH
SOCIAL SECURITY #
HOME PHONE
MAILING ADDRESS
DRIVER'S LIC#
EXP YEAR
CITY
STATE
ZIP
RELATION TO APPLICANT
NEAREST RELATIVE
FIRST NAME
MIDDLE NAME
LAST NAME
RELATIONSHIP
PHONE
ADDRESS
CITY
STATE
ZIP
EMPLOYER
EMPLOYERS NAME
ADDRESS
BUSINESS PHONE
CITY
STATE
ZIP
HOW LONG?
POSITION AND JOB TITLE
SALARY
 
NAME OF BOAT/RV
STATE OR IDENTIFICATION (IF ANY)
    SALE PRICE $
    TAX $
    FEES $
GROSS TRADE $    
PAYOFF $    
NET TRADE $    
CASH DOWN $    
TOTAL DOWN PAYMENT     $
UNPAID BALANCE     $
NEW USED
F/GLASS ALUMINUM
INVOICE $
YEAR BUILT MANUF. BY MODEL LENGTH
TRADE INFORMATION
TRADE PAYOFF TO:
EMAIL TO: aarmco2@livingston.net
FAX TO: 936-327-7119
HAVE YOU EVER HAD A CAR OR OTHER MERCHANDISE REPOSSED? YES    NO
IF YES, WHEN?
EVER FILE BANKRUPTCY? YES    NO
IF YES, WHEN?

I AGREE TO NOTIFY THE BANK OF ANY MATERIAL CHANGES IN THE ABOVE STATEMENT. I AUTHORIZE THE BANK TO OBTAIN SUCH INFORMATION AS THE BANK MAY REQUIRE CONCERNING THE STATEMENT MADE IN THIS APPLICATION AND AGREE THAT THE APPLICATION SHALL REMAIN THE BANK PROPERTY WHETHER OR NOT THE LOAN IS GRANTED. THE ABOVE NAMED APPLICANT HEREBY DECLARES THE FOREGOINT STATEMENT IS TRUE IN EVERY RESPECT. I UNDERSTAND THAT AN INVESTIGATION MAY BE MADE WHEREBY THAT INFORMATION MAY BE OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS OR OTHERS WHOM I AM AQUINTED. THIS INQUIRY MAY INCLUDE INFORMATION TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I FURTHER UNDERSTAND THAT I HAVE THER RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECEIVE ADDITIONAL DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THE INVESTIGATION. AND WILLFUL MISPRESENATATION ON THIS STATEMENT COULD RESULT IN A FINE AND/OR IMPRISONMENT UNDER THE PROVISION OF THE US CRIMINAL CODE.

DATE SIGNATURE OF APPLICANT