OneMain Financing 9365 The Landing Dr Ste E 400 Douglasville ...
[Pages:1]VENDOR #13074
? Stopping by our branch:
OneMain Financing 9365 The Landing Dr Ste E 400 Douglasville, GA 30135-7139
? Calling us at 770.949.5626, or ? Faxing your application to: 770.920.0584
Applicant's name City Best time to call Employer's name
Address
I State $mount you are requesting
I I Zip code
Home phone
I Social security no. (applicant)
Birth date
I
Employer's address
City Position Bank
1 ?How long?
State City
I Zip code
I Business phone
I Net monthly income (applicant's take home pay). Other income?
I State
Zip code
:i Checking
O Loan
Mortgage balance
_.Signature of applicant
Co-applicant's name
City
O Savings
Have you ever filed for bankruptcy? (Chapter 7,11,12,or 13?) -l No LJ Yes
I Monthly mortgage payment
How long at address?
I
-1 Date
I I I Social security no. (co-applicant) Birth date Address
State
I Zip code
I Home phone
Employer's name
Employer's address
City
State
I Zip code
I Business phone
Position Signature of co-applicant
I How long?
I Net monthly income (co-applicant's take home pay) Other income*
En
II Date
0 UaaJ::
UJ LL
Ua:J
*Alimony, child support, or separate maintenance income need not be included if you do not want it considered as a basis for repaying. All loans subject to our normal credit policies. Married persons may apply for credit as an individual. If this is an application for an individual account and you are relying on your own income or assets and not the income or assets of another person for repayment of the credit requested, questions relative to marital status and to income resources and assets of the spouse's need not be answered. However, only the applicant's resources will be evaluated in determining credit worthiness. By submitting this application, you authorize Springleaf Financial Services to make whatever credit inquiries that it deems necessary in connection with this credit application or in the course of review, collection, refinancing or consolidation of any credit extended in reliance on this application. You authorize and instruct any person or consumer reporting agency to compile and furnish to Springleaf Financial Services any information that it may have or obtain and such information shall remain Springleaf Financial Services' property whether or not credit is extended.
All loans are subject to our normal credit policies. This is not a solicitation for a real estate secured loan. NMLS# 1056 Springleaf Financial Services, Inc.
10000225
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