Credits Application – Clouds Financing

APPLICANT INFORMATION

Name

Date Of Birth (copy)

SSN (copy)

Phone Number

Current Address

City

State

Zip Code

Own Rent (Please Circle)

Monthly Payment or Rent:

How Long?

Present Address

Previous Address

City

State

Zip Code

Own Rent (Please Circle)

Monthly Payment or Rent:

How Long?

for (copy) Hourly

EMPLOYMENT INFORMATION

Current Employer:

Employer Address:

How long?

City

State

ZIP Code

Position

Hourly Salary (Please circle)

Annual Income

Previous Employer:

Employer Address:

How long?

Phone

Email Address

Fax:

City:

State:

ZIP Code:

Position:

Hourly Salary (Please Circle)

Annual Income:

CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNT

Name

SSN

Phone:

Date of birth:

Email Address

Current Address:

City:

State:

ZIP Code:

Own Rent (Please circle)

Monthly Payment or Rent:

How Long?

I Authorize Clouds Financing LLC. to verify the information provided on this form as to my credit and employment history.

I Authorize

Signature of Applicant

Clear Signature

Date

Signature of co-applicant, if for joint account

Clear Signature

Date