Welcome to our Multi-Lender Consumer Finance Application

We have multiple consumer finance lenders that cover all credit score & credit situations, including Bad Credit! Our Goal is to find you the Best possible Financing at the Best Rate & Term

IMPORTANT: READ THESE DIRECTIONS BEFORE COMPLETING THIS APPLICATION.

If you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete all required questions below in section A.

If you are married and live in a community property state (AZ, CA, ID, LA, NM, TX, WA, WI), complete all Sections including Section B providing information about your spouse.

If this is an application for joint credit with another person, complete all Sections providing information in Section B about the co-applicant. We intend to apply for joint credit, add initials below:

Joint Application Initials (only if applying with a co-applicant)

Joint applicant initials 1:
Joint applicant initials 2:

Section A: Your Credit Application

Purpose Of Loan *

Requested Loan Amount US$:

Personal Information

Last Name *

First Name *

Middle Initial

Date of birth Please click on the Month, Year and Day on the calendar *

Social Security Number *

ID Type *

Passport

Driver's License

State I.D

ID Issuer State *

GOV'T Issued ID Number *

Address *

Address 2

City *

State *

ZIP *

Years at This Address *

Home Phone

Mobile Phone *

Employer *

Position *

Years at Job *

U.S. Citizen *

Yes

Marital Status *

Married

Unmarried

Separated

Applicant's Total Annual Income ($) *

Email Address For Electronic Delivery of Documents *

Confirm Individual Credit Application

Yes

SECTION B. INFORMATION REGARDING CO-APPLICANT OR SPOUSE IN A COMMUNITY PROPERTY STATE

Co-Applicant-Spouse Last Name

Co-Applicant-Spouse First Name

Co-Applicant/Spouse Middle Initial

Co-Applicant/Spouse Day of Birth: Please click the Month, Year and Day on the calendar

Co-Applicant/Spouse Social Security Number

Co-Applicant/Spouse ID Type

Passport

Driver's License

State I.D

Co-Applicant/Spouse GOV'T Issued ID Number

Check the box if the address is the same as above

Address (same as above check here)

Co-Applicant/Spouse Address

Co-Applicant/Spouse City

Co-Applicant/Spouse State

Co-Applicant/Spouse Zip

Does the co-applicant own the jobsite property?

Yes

Co-Applicant/Spouse Mobile Phone

Co-Applicant/Spouse Employer

Co-Applicant/Spouse Position

Co-Applicant/Spouse Years at Job

Co-Applicant/Spouse U.S. Citizen

Yes

Co-Applicant/Spouse Marital Status

Married

Unmarried

Separated

Co-Applicant/Spouse Total Annual Income $

Co-Applicant/Spouse Email Address

*Other household income, alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Section A: Jobsite Address

Is the Jobsite Address the same as the Applicant's address?

Yes

Does the Applicant own the Jobsite property?

Yes

Jobsite Address (if different from above)

Jobsite City

Jobsite State

Jobsite Zip

CONSUMER NOTICES IN CONNECTION WITH YOUR APPLICATION

NOTICE TO CALIFORNIA RESIDENTS: If married you may apply for credit separately as an individual.

NOTICE TO NEW YORK RESIDENTS: Consumer reports may be requested in connection with this applicant. Upon request, you will be informed whether or not a consumer report was requested and, if it was, of the name and address of the consumer reporting agency that furnished the report. Additional consumer reports may be requested with respect to any extension or renewal of this obligation.

NOTICE TO OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.

NOTICE TO WISCONSIN RESIDENTS: If married or separated and spouse is not a co-applicant, please provide:

Non-applicant spouse's name:

Non-applicant spouse's address:

Notice: The interest of the creditor will not be adversely affected by a provision of a marital property agreement, a unilateral statement under Wisconsin Statutes § 766.59 or a court decree under Wisconsin Statutes § 766.70, unless you furnish a copy of such agreement, statement or decree to the creditor, or the creditor has actual knowledge of such provision before credit is granted.

NON-APPLICANT SPOUSE'S WAIVER OF NOTICE: I agree to waive notice of any extension of credit in connection with this application.

Non-applicant spouse signature (type in name):

Non-applicant's spouse Wisconsin waiving of notice

By checking this box, I assert that I am digitally signing to waive notice

Non-applicant spouse signatory date: Please enter the Month, Year and Day

USA Patriot Act Notice

IMPORTANT INFORMATION ABOUT ESTABLISHING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who establishes an account.

What this means for you:

~ When you establish an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you.

~ We may ask to see your driver's license, or other identifying documents.

AUTHORIZATION: I/we acknowledge that by submitting this application, I/we are authorizing and instructing IHCS Finance, LLC to share this application with potential lenders and give permission for them to use information from a credit bureau report to determine my/our suitability for credit to purchase goods and services from the contractor. I/we confirm that all information provided on this application is complete and accurate.

Applicant Signatory Approval *

I Agree

Applicant Legal Name - Signature *

App Sign Date: Please enter the Month, Year and Day on the calendar *

Co-Applicant Signatory Approval

By checking this box, I assert that I am digitally signing this credit application

Co-Applicant Legal Name - Signature

Co-Applicant Signature Date: Please click the Month, Year and Day on the calendar