Financing Through

LENDmark
Financial Services

Financing Now Available!

Please fill out the information below
All information is kept private and at no time will any of the information below be given to anyone for any reason expect to the Loan officer and Finance Company of LENDMARK.
This application is only for purchasing a new computer system through Vettronic Computers.
This is a secure website and it is checked daily.

One year Warranty on all our New Computer Systems!
Free Tech Support for as Long as you own
a Vettronics Computer!

 


Application For Credit
Please complete all sections, providing at least two years residence and employment history.
Notice: " If married, you have the right to apply for credit separately from or jointly with spouse."

Joint Credit

Individual Credit

Purpose

Cash Price

Down Payment

Amount Financed


Last Name


First Name


Middle Name


Social Security No#


Date of Birth


Street


City


State


Zip


How many years?


Previous Address (if less than 2 years)
Note: (P Stands for Previous)

P-Street

P-City

P-State

P-Zip

P-Years how many?


Phone No#


No# Dependents


Home
Buy   Rent   Other
    


Landlord or Mortgage Holder


Rent or Mortgage


Purchase Price of Property


Estimated Home Value


Mortgage Balance


Employers Name


Employers Address


Occupation


How Long?


Work Phone #


Monthly Income From Employer


Previous Employer


How Long?


Other Monthly
Income Gross


Other Monthly
Income Net


Source
of Income


Total  Monthly
Income Gross $


Total Monthly
Income Net $


Other income "income from alimony; child support; or separate maintenance need not be revealed if you no not choose to rely on such income in applying for credit"


Has applicant taken bankruptcy
within the last 7 years?

Yes No
if "Yes" what year


Bank Reference


Bank Name


Bank Address


Account
  Checking  Savings
Loan       Other

Personal Reference
Friend or Relative


Reference Address


Reference Phone


Are you a co-maker, endorser, or guarantor on any loan or contract?
Are you liable to pay alimony, child support, separate maintenance?   


Yes No
Yes No


If yes, to whom:
  If yes, amount:


Auto Yr/Model
Auto Yr/Model


Financed By:
Financed By:


Applicant:
Applicant:


Co-Applicant
Co-Applicant

CO-APPLICANT


Last Name


First Name


Middle Name


Social Security No#


Date of Birth


Street


City


State


Zip


How Long?
Yrs. M.


Home Phone


Number Dependents


Home
Buy  Rent Other
   


Rent or Payment


Employers Name


Employer Address


Occupation


How Long?


Work Phone


Monthly Income
Gross Net


Previous Employer


How Long?


All Other Monthly Income
Gross Net


Source of Other Income


Total Monthly Income