First Name: *

Middle Name/Initial:

Last Name: *

Marital Status: Married Unmarried Separated

Social Security #: (999-99-9999)

Date of Birth: (mm/dd/yyyy)

US Citizen: Yes No

E-Mail: *

Address:

City:

State of Residence: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Contact Number:

Cell Number:

Years Lived There: Years Months

Own / Rent: Own Rent

Mortgage Holder/Landlord:

Payment/Rent:

Employer:

Type of Business:

Position:

Emp. Phone: Ext.

Years There: Years Months

Gross Monthly Income:

Previous Employer if less than 3 years:

Years There: Years Months

Other Monthly Income:

Source:

Address:

City:

State: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Name:

Address:

City:

State: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone:

Relationship:

Co-Applicant Type: None Spouse Co-Signer Guarantor Other

First Name:

Middle Name/Initial:

Last Name:

Marital Status: Married Unmarried Separated

Social Security #: (999-99-9999)

Date of Birth: (mm/dd/yyyy)

US Citizen: Yes No

Same Address as Applicant:

Address:

State: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

City:

Zip Code:

Contact Number:

Cell Phone:

EMail Address:

Years Lived There: Years Months

Employer:

Position:

Emp. Phone: Ext.

Years There: Years Months

Gross Monthly Income:

Previous Employer if less than 3 years:

Years There: Years Months

Other Monthly Income:

Source:

Name:

Address:

City:

State: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone:

Relationship:

Loan Type: Choose Purchase Refinance Cash Out

Purchase Price:

Sales Tax:

Cash Down Payment:

Trade In Allowance:

Owed on Trade:

New/Used: New Used

Year:

Make:

Model:

Length:

Engine(s): None Single Twin Triple

Engine Manufacturer:

Fuel Type: Gas Diesel

Horse Power:

Seller Type: Choose Individual Dealer Broker

Name:

Address:

City:

State: -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Offshore Ohio Oklahoma Oregon Out of Country Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Phone:

Contact:

Not Applicable?

Year:

Make:

Model:

Length:

Engine(s): None Single Twin Triple

Engine Manufacturer:

Fuel Type: Gas Diesel

Horse Power:

Ever declared bankruptcy: No Yes

If Yes, what year:

Do you pay child support: No Yes

If yes, monthly payment:

Outstanding Judgments or Liens: No Yes

Assets *

Bank/Cash On Hand {Cash Deposit}:

Deposit on Boat {Deposit Accounts}:

Marketable Securities {Marketable Securities}:

Retirement Plan, 401K, etc {Retirement Accounts}:

Life Insurance (Cash surrender value only){Life Insurance}:

Notes and Accounts Receivable {Notes and A/R}:

Value of Business Owned {Business Net Worth}:

Real Estate (Location 1){Residence}:

Real Estate (Location 2){Other Real Estate}:

Automobile (1){Automobile}:

Automobile (2){Automobile}:

Current RV {RV}:

Current Boat Owned{Boat}:

Other Asset:{Other Assets}

Other Asset{Other Assets}:

Total Assets:

Liabilities *

Net Worth

Important Information

Important imformation about opening your new account. To help fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify and record information that identitfies each person who opens an account. I (We) represent, warrant and affirm that all of the statements made by me (us) in this application are true and correct and have been made by me (us) in order to induce you to grant credit to me (us) and with knowledge that you will rely thereon, without limiting the foregoing. I (we) represent and warrant that I (we) have no outstanding obligations to any Bank, Loan Company, Corporation or individual except as shown in this application and that no lawsuits or judgments are pending or entered against me (us). I (we) authorize you to exchange credit information with others in connection with this application. I (we) agree that this application shall be and remain your property whether or not this application is approved. Consumer credit report or reports may be requested from one or more consumer reporting agencies (credit bureaus) in connection with this application. This consumer credit report may be requested and used in connection with any debt, renewal or extension of credit requested by this application. If I (we) request, I (we) will be informed whether any consumer credit report was requested and, if so, of the name and address of the consumer reporting agency which furnished the report. Submission electronically to Excel Credit will be considered the same as if this application was filled out in hard copy paper format, signed, dated and submitted by me(us). It is understood such a hard copy paper application may be required to be filled out prior to any decision regarding the offering of any (if any) credit or terms for credit by Excel Credit.

Privacy Policy

By continuing with this finance application, you ask Excel Credit to request loan financing on your behalf. Through this application you are providing this information both to Excel Credit and their third party loan origination and financing partners. Only such partners will actually fund or obtain from their own chosen third party bank or financial institution, funding of accepted loan applications (such partners, banks and financial institutions are referred to as "Lenders"). Excel Credit is not itself a Lender or an agent of any Lender and shall have no liability to individuals who have been accepted for financing and whose loans are being processed by Lenders. You should rely on your own judgment in deciding if and how an available loan best suits your needs and financial means. You are under no obligation to use Excel Credit to commence the financing process and Excel Credit does not guarantee that completing this application will result in your receiving a loan from a Lender.