Credit Application Form

Loan Application Form
Total Amount*
Down Payment*
Loan Amount
Loan Type*
Payment Period*

3 Months6 Months12 Months
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*

Driver LicenseState Issued IDMilitary IDPassport
Name on ID*
ID Number*
ID Issue Date*
MM/DD/YYYY
ID Expiration*
MM/DD/YYYY
Contact Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Birth Date*
MM/DD/YYYY
SSN*
xxx-xx-xxxx
E-mail*
Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Same as Billing Address?*

YesNo
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
How long have you lived in your given address?*

0-1 Year1-2 Years3-4 Years5+ Years
Monthly rent/mortgage*
Employment Information
Present Employer*
Occupation*
Years of Experience*
Gross monthly income*
Comments:
Do you have a Co-signer*
Bank Information

Required for Foundation Finance Company
Bank Name
Routing Number
Account Number
Co-Applicant Information
Applicant ID Type*

Driver LicenseState Issued IDMilitary IDPassport
Name on ID*
ID Number*
ID Issue Date*
MM/DD/YYYY
ID Expiration*
MM/DD/YYYY
Contact Information

Co-Applicant
Title:
Name*

First NameLast Name
Birth Date*

MonthDayYear
SSN*
xxx-xx-xxxx
Marital Status:*

SingleMarriedOther
E-mail*
example@example.com
Phone*

Area CodePhone Number
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
How long have you lived in your given address?*

0-1 Year1-2 Years3-4 Years5+ Years
Monthly rent/mortgage*
Employment Information

Co-Applicant
Present Employer*
If retired please enter "Retired" if unemployed enter "Unemployed"
Occupation*
Gross monthly income*
Years of Experience*
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. *

YES
Applicant's Signature*

Clear
Date*
MM/DD/YYYY
Co-Applicant's Signature*

Clear
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