APPLICATION
Fill in all areas of this form completely.  Print the Form.  Fax to 843-545-8511.
This form and its information is not SENT or STORED anywhere. 
It must be printed by you and FAXED or MAILED to Low Country Classics.
   
I am applying for credit Individually  Jointly
If you are relying on the income or assets of another person as the basis for repayment or the credit request, the other person must complete an
additional application.		 Have you ever filed bankruptcy?  Yes No
Is there a guarantor?                  Yes No
Name:
Street Address:
City:   State: Zip:  Monthly MRTG/Rent Payment:$
Email:

Check One:   Own  Rent  Parent  Other
Date of Birth:   Social Security #:
How long there?  yrs. mos.    # of Dependents:
Home Phone: () -      Listed Unlisted Name listed under if not applicant's self
      (see gray box below)
Previous Street Address:
Last Name:    Own
First Name:    Rent
Relationship: Parent

Monthly Mrtg/Rent Payments

 Other
City: State:  Zip:
How long there?  yrs.  mos.
Checking Account CU/Bank Name:                     Balance:
  $		 Account #:
Savings Account CU/Bank Name:                       Balance:
    $ 		Account #:
Nearest Relative Not Living With You:
Name:   Phone:   Relationship:
Address: City:   State:   Zip:
EMPLOYMENT Self-employed: Yes   No
If Self Employed,
nature of business:
Employed by:
Previously Employed by:
Address:
Address:
Position:                                                Supervisor's Name:
                   		Position:                                      Supervisor's Name:
 
Email: Work Phone: Email: Phone:
 
How long at present job?  yrs. months    
CREDIT REFERENCES  
Indicate here all other installment debts owed.  Including banks, retail stores, finance company, credit unions, and individual credit card payments.  If none, enter paid loan credit references.  If additional space is needed, please send information via email and reference this form.  Include your name.

To Whom Owed      

Address Account Type Unpaid Balance Monthly Payment
1. $ $
2. $ $
3. $ $
3. $ $
4. $ $
5. $ $
6. Monthly Automobile Loan Payment $ $
 

TOTALS:

 $ $
Automobile Currently Owned: Year Make: Model:
Financed by: Unpaid Balance: $
Home or Condominium Owned
Title Holder(s):
Original Mortgage Amount $ Mortgage Held by:
Purchase Price: $ Purchase Date: Unpaid Balance: $

MONTHLY INCOME

MONTHLY EXPENSES
Please FAX a photocopy of your most recent pay check stub or a photocopy of your last tax return if self-employed to 843-545-8511

Gross Monthly Earnings
$

Net (Take Home)
$
You need not list income from alimony, child support or maintenance payments if you choose not to rely on them for credit.

Other (Describe)


$

Total Net
Monthly Income:

$
Monthly Rent or Mortgage Rent  Own
Payment (Incl. Interest and Taxes) $
Insurance Premiums
Monthly Payments

$
Total Monthly Payments For
Loans and Credit Cards		 $
TOTAL MONTHLY EXPENSES $
   
 
Please describe the car for which you are seeking financing, including price, make, model and year. Year                               Make
Model                   Price $
Down-payment: $
Description:
 
NOTE: Submitting this application does not hold a car for you.  To insure a desired car is held for you requires a
           deposit.
           If you are filing a joint application, you must submit the first one and then complete a second application
           in the second person's name.