Patrick's Resale Center

Credit Applicatoin

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Rent Own
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Customer Of Bank Yes No
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Checking Account: Name Of Bank And Address
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Savings Account: Name Of Bank And Address
Balance
Name And Address Of Closest Relative Not Living With You
Relationship
Name Of Creditor/Balance/Monthly Payment
Name Of Creditor/Balance/Monthly Payment
Name Of Creditor/Balance/Monthly Payment
Name Of Creditor/Balance/Monthly Payment
Co-Signer Name First Last
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Address
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Email
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Name And Address Of Previous Employer
Other Income (Give Source)
Checking Account: Name Of Bank And Address
Balance
Savings Account: Name Of Bank And Address
Balance
Name And Address Of Closest Relative Not Living With You