Language
English (US)
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Loan Application Form
22445 AL-22, Safford, AL 36773
Applicant Personal Details
Name
*
First Name
Last Name
Do you have a Social Security Number (SSN)?
*
Yes
No
Do you know your current credit score?
*
Yes
No
Please select your credit score range
*
650 or higher
580 - 650
Under 580
With credit under 650 interest rates can be greater than 20% and you must pick up in-store to finalize paperwork, do you wish to proceed?
*
Yes
No
Unfortunately, with a credit score under 580 we cannot use our current lenders. For more information please text us at 1(334) 573-2410.
Social Security Number
*
You MUST have a SSN to apply for financing
Birth Date
*
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Year
Phone Number
*
Email
*
Do any of the following apply to you?
Disability
Retired
Not applicable
Do you have a co-applicant?
*
Yes
No
Does your co-applicant have a Social Security Number (SSN)?
*
Yes
No
Your co-applicant must have a valid Social Security Number to qualify.
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Co-applicant Personal Details
Co-Applicant Name
*
First Name
Last Name
Co-Applicant Birth Date
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
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1940
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1938
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
Year
Social Security Number (Co-App)
*
You MUST have a SSN to apply for financing
Phone Number (Co-App)
*
Email (Co-App)
*
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Identification
Applicant Identification Required - Driver's Licence or State Issued ID
*
Driver's Licence
State Issued ID
Applicant Driver's Licence / State ID Number
*
Expiry Date (App State ID)
*
-
Month
-
Day
Year
Date
Issued by:
*
Street Address
Street Address Line 2
City
Please Select
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Rhode Island
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Utah
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Issued Date (App State ID)
*
-
Month
-
Day
Year
Date
Co-applicant Identification Required - Driver's Licence or State Issued ID
*
Driver's Licence
State Issued ID
Co-applicant Driver's Licence / State ID Number
*
Expiry Date (co-app State ID)
*
-
Month
-
Day
Year
Date
Issued by:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Issue Date (co-app State ID)
*
-
Month
-
Day
Year
Date
Upload Image of your Driver's Licence or State Issued ID
*
If you have trouble uploading we will contact you to obtain you can continue with the application
Upload Image of both your and your co-applicant's driver's licence or state issued ID
*
Browse Files
If you have trouble uploading we will contact you to obtain you can continue with the application
Cancel
of
Applicant Secondary Required Identification
*
Visa
Mastercard
Amex
Discover
Firearms permit
Hunting permit
Fishing permit
Concealed carry
Exp. Date (App 2nd ID)
*
Co-applicant Secondary Required Identification
*
Visa
Mastercard
Amex
Discover
Firearms permit
Hunting permit
Fishing permit
Concealed carry
Exp. Date (App 2nd ID)
*
Upload an image of your Secondary ID
If you have trouble uploading we will contact you to obtain you can continue with the application
Upload Image of both your and your co-applicant's secondary ID
Browse Files
If you have trouble uploading we will contact you to obtain you can continue with the application
Cancel
of
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Applicant Home Details
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of 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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years living at this address
*
Property Ownship
*
Owned
Rent
Monthly Rental Amount
*
Mortgage Monthly Payment
*
Previous Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of 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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years living at this address
*
Property Ownship
*
Owned
Rent
Previous Monthly Rental Amount
*
Previous Monthly Mortgage Payment
*
Applicant Work Details
Place of Work
*
Job Title
*
Work Phone Number
*
Years Employed
*
Monthly Gross Income
*
in USD
Applicant References
Reference 1 Name
*
First Name
Last Name
Reference 1 - Phone
*
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Co-applicant Home Details
Do you and the co-applicant live at the same address?
*
Yes
No
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of 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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years living at this address
*
Property Ownship
*
Owned
Rent
Co-applicant Mortgage Monthly Payment
*
Co-applicant Rent Amount
*
Mortgage Company / Landlord
*
Co-applicant Work Details
Place of Work
*
Job Title
*
Co-applicant Work Phone Number
*
Years Employed
*
Monthly Gross Income
*
in USD
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Application Details
Purpose of Loan
*
Safford Bundle
Mower
Trailer
Bush Hog
Other
Do you know your bundle number?
*
Yes
No
Bundle Number
*
Do you want to buy a trailer?
Yes
No
What type of trailer do you want?
*
Utility 6x10
Utility - other sizes
Enclosed
Goose Neck
Aluma
Other
Which brand of mower do you want? (This will determine finance options)
*
Husqvarna
Gravely / Ariens
I'm not buying a mower
Requested Loan Amount
*
in USD
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Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not loan is approved.
You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
Our team will reach out to you via SMS please provide the best number.
*
Applicant Signature
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Co-applicant Signature
Clear
For security please complete
*
Submit
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