Credit Application

Boardman Brothers Motor Company, Inc.
Credit Application

Customer Name
Current Address Street, Town, State, Zip	City State Zip
Length at Current Address	Year(s) Month(s)
	SS # Date of Birth: Phone #:
Less Than 3 years- Previous Address
Name of Landlord OR Mortgage Co.
	Full Address:
	Phone: Monthly Amount:
Present Employer
	Full Address:
	Phone: Length of Employment:
	Position Held: Supervisor:
	Gross Monthly Income:
Previous Employer If less than 5 years
	Address:
	Phone: Length of Employment
List Any Other Income You want Considered

Joint Applicant's Name
Joint Applicant Address Street, Town, State, Zip
	SS # Date of Birth Phone
Have You Ever Declared Bankrupcy?	YES NO
Have You Ever Had a Vehicle Repossessed?	YES NO
E-Mail Address