APPLICATION FOR DEALER ARRANGED LOAN
Please fill out the form as completely as possible..
Full Name of Primary Applicant Driver's License No Date of Birth Social Security No. No. of Dependents Present Street address Address (cont.) City State Zip code County How Long? Years Months Previous Street address Address (cont.) City State Zip code County How Long? Years Months Home Phone Rent or Mortgage Payment Landlord/Mortgage Holder Own Home? Yes No Purchase Price Mortgage Balance Approx Value of Home Name Of Relative Not Living With You At This Address Street address Address (cont.) Phone Relationship Occupation Phone Employer Address How Long? Years Months Previous Occupation Previous Employer Address How Long? Years Months Gross Wage or Salary Weekly Monthly Yearly Name of Bank Branch Checking Savings Other Income Weekly Monthly Yearly Source NOTE: Alimony, child support, or separate maintenance income need not be revealed. If you do not wish to have it considered as a basis for repaying this obligation. COMPLETE THIS SECTION ONLY IF APPLICATION IS FOR JOINT CREDIT WITH ANOTHER PERSON Print Full Name of Joint Applicant Driver's License Number Date of Birth Social Security Number Number of Dependents Present Address City State Zip County How Long? Years Months Home Phone Business Phone Own Home? Rent or Mortgage Payment Landlord or Mtg Holder Occupation Phone Employer Address How Long? Gross Wage or Salary Per Week Per Month Per Year Name of Bank Branch Checking Savings Other Income Per Week Per Month Per Year Source NOTE: Alimony, child support, or separate maintenance income need not be revealed. If you do not wish to have it considered as a basis for repaying this obligation. Auto: Make and Year Financed With Title in Name of: Monthly Payments Amount Owed: Keeping Trading Selling Name and Address of Past and Present Creditors - 1 Name Address Acct in name of: Type of Loan Account Number Monthly Payment Balance Owed Name and Address of Past and Present Creditors - 2 Name Address Acct in name of: Type of Loan Account Number Monthly Payment Balance Owed Name and Address of Past and Present Creditors - 3 Name Address Acct in name of: Type of Loan Account Number Monthly Payment Balance Owed Name and Address of Past and Present Creditors - 4 Name Address Acct in name of: Type of Loan Account Number Monthly Payment Balance Owed Collision and Comprehensive Insurance is Required. The Huntington National Bank Must be Listed as Loss Payee Agent's Name Agent's Address New Used Demo Term Year No Cyl Make Model Air Cond Sun Roof Cruise Pwr Window Stereo/Tape Leather Int Auto Trans Tilt M.S.R.P. Mileage VIN (Full) Trade In Year Make Model Where Financed CASH PRICE (Includes Tax, Title, Fees) Cash Down Payment Gross Trade-In Payoff Net Trade-In Rebate Total Down Payment Unpaid Balance Extended Service Warranty Credit Life, A&H Amount Financed (TOTAL) I/we understand that the above named Dealer will request Huntington National Bank West Virginia to finance the purchases requested in this application, and I/we authorize Huntington National Bank West Virginia to disburse the proceeds of this loan to that dealer.I/we certify that each of the statements made and answers given in this credit application is true and correct and is made for the purpose of inducing the financing of the purchase of the motor vehicle described in this application. I/we authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies. THE WEST VIRGINIA LAWS AGAINST DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO ALL CREDITWORTHY CUSTOMERS AND THAT CREDIT REPORTING AGENCIES MAINTAIN SEPARATE CREDIT HISTORIES ON EACH INDIVIDUAL UPON REQUEST. THE WEST VIRGINIA CIVIL RIGHTS COMMISSION ADMINISTERS COMPLIANCE WITH THIS LAW. Applicant's Name Date Joint Applicant's Name Date
I/we certify that each of the statements made and answers given in this credit application is true and correct and is made for the purpose of inducing the financing of the purchase of the motor vehicle described in this application.
I/we authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies.
THE WEST VIRGINIA LAWS AGAINST DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO ALL CREDITWORTHY CUSTOMERS AND THAT CREDIT REPORTING AGENCIES MAINTAIN SEPARATE CREDIT HISTORIES ON EACH INDIVIDUAL UPON REQUEST. THE WEST VIRGINIA CIVIL RIGHTS COMMISSION ADMINISTERS COMPLIANCE WITH THIS LAW.