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W1734 Hwy KK
Kaukauna, WI 54130
Phone: 920-766-3411
Fax: 920-766-7190
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Credit Application
Please fill in the form below to apply for a loan. One of our staff will get back to you A.S.A.P.
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2005 E-Ton Beamer
2006 Honda CBR 600rr
1992 Honda CBR 600 F2
2001 Honda CBR (Erion Edition)
2000 Honda Nighthawk 750
2005 Honda VTX
1991 Honda CBR F2
1993 Honda Goldwing Aspencade
2002 Honda Silverwing
2005 Honda Rubicon
2006 Honda CBR 1000RR
2006 Honda TRX 450r
1999 Honda Shadow
2005 Honda CBR F4I
2000 Kawasaki Lakota
2000 Kawasaki ZR-7
2002 Kawasaki ZX-6R
2003 Kawasaki ZX-6RR
2007 Kawasaki Ninja
1998 KTM SX 50 Pro Jr
2005 Suzuki DR-Z 400 SM
2005 Suzuki GS 500F
2003 Suzuki GSX-R
2006 Suzuki Hayabusa
2005 Suzuki DRZ 110
2000 Suzuki SV 650
2005 Suzuki C50T
2002 Suzuki Marauder
2005 Suzuki C90
1981 Suzuki GS 650
2005 Suzuki GSX-R
2005 Suzuki Boulevard C90T
2003 Suzuki Burgman
2005 Suzuki GSX-R 20th Anniversary Edition
0 Suzuki Quadrunner 500 4x4
2006 Suzuki Kingquad
2005 Yamaha Virago
2000 Yamaha V-Star
2006 Yamaha R6
2004 Yamaha R1
2004 Yamaha V-Star
2004 Yamaha R6
1995 Yamaha YZF-600
0 Yamaha Roadstar Warrior
2004 Yamaha V-Star
2006 Yamaha YZF-R6
Applicant Information
First Name:
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MI:
Last Name:
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Suffix (Jr./Sr./etc.):
JR
SR
I
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III
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Email:
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Social Security #:
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Birth Date (MM-DD-YYYY):
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Drivers License #:
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Street #:
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Street Name:
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Type:
Apt./Suite #:
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State:
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Zip:
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Home Phone #:
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Cell Phone #:
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Time at Address:
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months
Housing Status:
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Mtg Payment or Rent:
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Employment Status:
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Work Phone #:
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Occupation:
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Co-Applicant Information
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First Name:
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Last Name:
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Suffix (Jr./Sr./etc.):
JR
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I
II
III
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Email:
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Birth Date (MM-DD-YYYY):
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Residence Information is
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Street #:
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Street Name:
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Apt./Suite #:
City:
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State:
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Zip:
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Home Phone #:
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Cell Phone #:
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Time at Address:
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years
months
Housing Status:
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Mtg Payment or Rent:
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Employment Status:
*
Select
Employed
Unemployed
Retired
Military
Other
Self Employed
Employers Name:
*
Work Phone #:
*
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-
How Long Employed:
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years
months
Occupation:
Income (gross):
*
weekly
bi-weekly
monthly
yearly
Prefered Contact Method
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Phone & Email
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Additional Comments
Comments:
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Authorization
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history, receipt of a GLB privacy act notice by mail, and the release of information about my credit experience to a third party lending institution.
I agree to the above statement.
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