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