Credit Application - Home Improvements

Note: Applicants must reside in the United States and be 18 years or older to apply

Total Amount Requested

Down Payment

Total Amount Financed

Applicant Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

How Many Years Have You Owned Your Home?

Phone Number

Email *

Social Security Number

Date of Birth (mm/dd/yyyy)

Mortage Payment

Are taxes & insurance included?

If Yes, Yearly Amount?

Current Employer Name

Length of Employment

Position/Title

Employee Phone Number

Gross Monthly Salary

Previous Employer Name (if less then 2 yrs at current)

Length of Employment

Drivers License

Issued Date (mm/dd/yyyy)

Expiration Date (mm/dd/yyyy)

Additional Income: Alimony, Child Support, or separate maintenance does not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment of the requested credit amount.

Sources (alimony, rent,retirement,etc)

Have You Ever Filed For Bankruptcy?

If Yes, When?

I certify that all information given by me on this application is complete and accurate. I give my permission for any financial institution which will review this credit application, to investigate my credit and employment history, and to answer questions about their credit experience with me including but not limited to late payments, missed payments or other defaults.

I authorize Aspen Home Improvements to investigate my credit and employment history and may obtain information from others about me (including requesting reports from consumer reporting agencies and other sources) to evaluate my application.

This will advise you that your retail sales contract and buyer’s application will be submitted to financial institutions and their affiliates for consideration as to whether you meet their credit requirements.

Co-Applicant Application

Co-Applicant Name

First

Last

Relationship

Address

Address Line 1

Address Line 2

City

State

Zip Code

How Many Years Have You Owned Your Home?

Phone

Social Security Number

Mortage Payment

Are taxes & insurance included?

If Yes, Yearly Amount?

Current Employer Name

Length of Employment

Have you ever filed for bankruptcy?

If Yes, When?