The purpose of this document is to provide you with a master data worksheet to organize all the typical information that is used in applying for credit and/or loans. This document should printed out by you and only kept by you in a safe place, as the information you would list here is personal identification information including your SSN and bank account #s.
Name:
Address:
City/State/Zip:
Phone:
Fax:
Previous Address:
City/State/Zip:
How long there?
Other Names Credit Obtained Under?
Date of Birth:
Social Security Number:
Driver’s License Number and State:
Employer’s Name:
Employers Address:
City/State/Zip:
How Long With This Employer?
Position Held:
Supervisor:
Previous Employer’s Name:
Previous Employer’s Address: