Financing Application Form

Loan Information
Product to Finance:
Amount for home improvement:
An amount is required.
Include debt consolidation?: Yes No
Amount to consolidate:
Terms Requested:

Borrower
Name:
A name is required.
Date of Birth:
A value is required.

Invalid format.
Social Security Number:
A SS Number is required.

Invalid format.
Address:
An address is required.
City:
A city is required.
State:
Zip:
A zip code is required.

Invalid format.
If time at current residence is less than two years.
Previous Address:
Time at Previous Address:
Home Phone Number:
A home phone number is required.

Invalid format.
Work Phone Number:
Invalid format.
Email Address:
Invalid format.
Marital Status: Single Married

Co-Borrower
Name:
Date of Birth:
Invalid format.
Social Security Number:
Invalid format.
Phone Number:
Invalid format.
Marital Status: Single Married

Income Information
Borrower
Employer:
Required.
Position:
Gross Monthly Income:
Required.
Years at Current Employer:
Required.
If current employment is less than three years.
Previous Employer:
Time at Previous Employer:

Additional Income
Amount:
Source:


Co-Borrower
Employer:
Position:
Gross Monthly Income:
Years at Current Employer:
If current employment is less than three years.
Previous Employer:
Time at Previous Employer:

Additional Income
Amount:
Source:



Residence Information
Purchase Date:
A purchase date is required.

Invalid format.
Price Paid:
Required.
Current Value:
Required.
Mortgage Balance:
Required.
Payments:
Required.
Lender:
Required.
Second Mortgage or Equity Line of Credit
Balance:
Payments:
Lender:
Would you like to pay off your equity line or second, and include it in your home improvement? Yes No
Number of Acres:
Required.
Is your home a mobile home? Yes No
Please make a selection.
If so, do you own the land? Yes No

Additional Comments


Authorization: We hereby give our consent to Leisure Pools Columbus, LLC and any Credit Reporting Bureau which they may designate, to obtain any and all information concerning our employment, checking and savings accounts, mortgage payments and all credit matters which they may require in processing our application for a loan and/or extension of credit. I/We certify that the information given is honest and accurate and without omission.

    


Request a DVD Name:

A value is required.


Email:

A value is required.


Address:

A value is required.


City, State, ZIP:

A value is required.


Phone:



  
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