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575.393.1525 | 1.800.388.0987 | 4830 Seminole Highway | Hobbs, NM 88240
Home » Financing » Credit Application
All fields marked with a R are required!
 
Personal Information: (Primary Applicant)
R First Name:

 R Middle Initial:

 R Last Name:
R Date of Birth:
/ /
R Social Security Number:
- -
 
R Home Phone Number:

 R Work Phone Number:

 R Current Address:
R City:

 R State:

 R Zip:
R Do you rent or own?

 R For how many years?
yrs.
 R Time at current job:
yrs. & mos.
R *Are you self employed?

    
Personal Information: (Spouse [If Applicable])
First Name:

 Middle Initial:

 Last Name:
Date of Birth:
/ /
Social Security Number:
- -
 
Home Phone Number:

 Work Phone Number:

 Time at current job:
yrs. & mos.
*Are you self employed?

    
Financial Information:
R Total monthly payments on debts (estimated):
R Funds available for down payment, closing costs, and reserves (estimated):
R Gross monthly income:
**Base income from employment:

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

**Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower does not choose to have it considered for repaying this loan.
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