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This form will ask you information about the primary borrower, the secondary borrower (if any), bank account information, and brief vehicle credit history. In order to process the form, you will need to fill it out completely.
Borrower Information - Primary Applicant *required
First Name* Last Name* SSN* (9 numbers no dashs)
Important Information

Please Note: If you have been at your address less than 3 years, please fill out secondary address.
Street Address* Years at This Address*
City* Zip* State*
Previous Street Address Years at This Address
City Zip State
Date of Birth*(00-00-0000) Drivers License Number* Number of Dependents*
Home Phone Number* Work Phone Number
Employer Information - Primary Applicant  * = required
Employer Name* Employer Address* Years Worked There*
Your Occupation* City* Zip* State*
Supervisors Name* Gross Income* Per*
Previous Employer Name Previous Employer Address Years Worked There
Previous Occupation City Zip State
Other Income - Primary Applicant   - use only if you want that income considered
Source of Other Income Income Amount Per
 

 
Co-Borrower Information - Secondary Applicant  -  Skip This and Continue
First Name* Last Name* SSN* (9 numbers no dashs)
Important Information

If you do NOT have a Co-Borrower
 Skip This and Continue

Please Note: If you have been at your address less than 3 years, please fill out secondary address.
Street Address* Years at This Address*
City* Zip* State*
Previous Street Address Years at This Address
City Zip State
Date of Birth*(00-00-0000) Drivers License Number* Number of Dependents*
Home Phone Number* Work Phone Number*
Employer Information - Primary Applicant  * = required
Employer Name* Employer Address* Years Worked There*
Your Occupation* City* Zip* State*
Supervisors Name* Gross Income* Per*
Previous Employer Name Previous Employer Address Years Worked There
Previous Occupation City Zip State
Other Income - Primary Applicant   - use only if you want that income considered
Source of Other Income Income Amount Per
Financial and Mortgage Information
Name of your Bank City Phone Number
Checking Acct. No. Savings Acct. No. Other
Landlord (if renting) Mortgage Holder Phone Number*
Select One*    State*
Own       Rent
Unpaid Balance Payment Amount* Per*
Last Vehicle Financed with:
Company Name Phone Number Account No.
You MUST agree to the following by placing a check in the boxes below. Without these boxes checked, your application may not be processed.

I have read and agree to the terms of use and privacy policy of this website.
 
I am granting Tri County Sales authorization to gather information about me and others submitted on this form from credit reporting and financial agencies regarding my credit worthiness in order to obtain financing. 

Tri County Sales Inc.
Copyright © 2004 Tri County Sales. All rights reserved.
Revised: March 26, 2005 .
 

Questions? Comments? email: webmaster@tcsmexia.com
Copyright 2004 - 2005 © Tri County Sales - all rights reserved