Credit Application Form

Loan Application Form
Total Amount
Down Payment
Loan Amount
Loan Type
Loan Period
Please enter as number of months (Note: Same as cash is only available for 3, 6, and 12 months!)
Bone Dry Sales Rep.

First NameLast Name
Applicant ID Type
Name on applicant ID
Are you or the cosigner the homeowner
Please make sure the homeowner is on the application in order to submit
ID Number (Applicant)
ID Issue Date (Applicant)
MM/DD/YYYY
ID Expiration (Applicant)
MM/DD/YYYY
Contact Information
Name (Applicant)

First NameLast Name
Birth Date (Applicant)
MM/DD/YYYY
SSN (Applicant)
xxx-xx-xxxx
E-mail (Applicant)
Phone (Applicant)

Area CodePhone Number
Address (Applicant)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Same as Billing Address?
Billing Address (Applicant)

Street Address

Street Address Line 2

CityState

Zip Code
How long have you lived in your given address?
How long has applicant lived in your given address?
MM/DD/YYYY
Monthly rent/mortgage (Applicant)
Employment Information
Present Employer (Applicant)
Occupation (Applicant)
Years of Experience (Applicant)
Gross monthly income (Applicant)
Comments:
Do you have a Co-signer
Bank Information

Required for Foundation Finance Company
Bank Name
Routing Number
Account Number
Co-Applicant Information
Co-Applicant ID Type
Name on ID (Co-Applicant)
ID Number (Co-Applicant)
ID Issue Date (Co-Applicant)
MM/DD/YYYY
ID Expiration (Co-Applicant)
MM/DD/YYYY
Contact Information

Co-Applicant
Title (Co-Applicant):
Name (Co-Applicant)

First NameLast Name
Birth Date (Co-Applicant)
MM/DD/YYYY
SSN (Co-Applicant)
xxx-xx-xxxx
Marital Status (Co-Applicant):
E-mail (Co-Applicant)
example@example.com
Phone (Co-Applicant)

Area CodePhone Number
Billing Address (Co-Applicant)

Street Address

Street Address Line 2

CityState

Zip Code
How long have you lived in your given address?
How long have you lived in your given address? (Co-Applicant)
Monthly rent/mortgage (Co-Applicant)
Employment Information

Co-Applicant
Present Employer (Co-Applicant)
If retired please enter "Retired" if unemployed enter "Unemployed"
Occupation (Co-Applicant)
Gross monthly income (Co-Applicant)
Years of Experience (Co-Applicant)
Comments:
By signing this application, I authorize Bone Dry Roofing, Inc. to process my credit application using all of the information I have provided. I hereby consent to sharing this information with interested third parties, including dealers and lending institutions that accept this application. I affirm that the information I have submitted is complete and truthful. I authorize you to make inquiries you consider necessary in evaluating my application and, subsequently, for purposes of reviewing, maintaining or collecting on my account.
Applicant's Signature
Date
MM/DD/YYYY
Co-Applicant's Signature
Date
MM/DD/YYYY
Please Verify
Should be Empty:

Loan Application Form

Contact Information

Employment Information

Bank Information

Co-Applicant Information

Contact Information

Employment Information