MARRIED MAY APPLY AS AN INDIVIDUAL

PRIMARY APPLICANT


Current Address


Previous Address


Home Information


Employment Information


Credit References


JOINT APPLICANT


Current Address


Previous Address


Home Information


Employment Information


Credit References

Signature and Acknowledgement

NOTICE: The applicant has the responsibility to notify Security Credit Corp. within a reasonable time of any change in the applicant’s name, address or employment. Insurance related to the credit for which you are applying may be purchased from an insurer or agent of your choice who meets our standards. Everything that I have stated on this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit with me. (In connection with you application for credit, a consumer repot may be requested. On your request, we will advise you if the report was actually ordered and if so, the name and address of the agency that furnished the report, subsequent consumer reports may be ordered).