Finance - Bobby Ford Tractor and Equipment

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Applicant's Name

Term of Loan (in months)

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Personal Information

License Expiration Date

Address

Have you been at your current address for at least three (3) years?

Yes

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Address

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Address

Employment Information

Are you self employed?

Yes

Employer Phone Number

Gross Monthly Income (Pre-tax)

Employer Address

Previous Employer Information

Are you self employed?

Yes

Employer Phone Number

Gross Monthly Salary

Employer Address

Gross monthly amount

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How will you be filing?

Individual

Joint

Suffix

Applicant's Name

Amount Requested

Item to Finance

Term of Loan (in months)

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Personal Information

Date of Birth

License Number

License Region

License Expiration Date

Marital Status

Daytime Phone

Evening Phone

Address Information

Address

Have you been at your current address for at least three (3) years?

Yes

If you answered ‘no’ to the above question, please provide your previous address.

Address

Residential Status

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Address

Employment Information

Are you self employed?

Yes

Employer Phone Number

Employer Name

Current Position

Years on the job

Gross Monthly Income (Pre-tax)

Employer Address

Previous Employer Information

Are you self employed?

Yes

Employer Phone Number

Employer Name

Current Position

Years on the job

Gross Monthly Salary

Employer Address

Other Income

Income Source

Other Income Source

Gross monthly amount