Form

Bank Account Information

This info is needed in order to gain approval if you have no credit or have poor credit. NO CHARGES WILL BE MADE TO YOUR ACCOUNT AT THIS TIME.
Bank Name
Routing Number
Checking/ Savings Account Number (Checking Preferred)
How long has the account been open?

Less than 1 Month 1-3 Months 3-12 Months More than 1 Year
Name of a Friend or Relative Not Living With You:

First Name Last Name
Phone Number For Friend/Relative:

- Area Code Phone Number
Name of a Friend or Relative Not Living With You:

First Name Last Name
Phone Number For Friend/Relative:

- Area Code Phone Number

By signing below, you authorize homePLUS, and its affiliated lenders/leasing companies to make whatever credit inquiries and obtain such credit reports as we deem necessary in connection with this application or in the course of review or collection of any credit extended in reliance on this application. You authorize and instruct any person to complete and furnish to us any information that we may request and agree that such information along with this application, shall remain our property whether or not credit is extended. You authorize us to disclose any information in or relating to this application and account if approved (including information received from third persons to any applicant for, or guarantor of, this credit, to financial service providers we select to provide you with financial products and services we do not offer ourselves, and to any potential assignee, transferee, or participant in the credit to which this application relates. You represent that all information provided is true to the best of your knowledge. *

YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission. * *

YES
Should be Empty:

Financing Application