Painter's Simple Credit Application

All fields marked with an * are required  

Loan Information
Painter's Loan Calculator
(1) Loan Amount $:
(2) APR (interest):
(3) # of Months:
(4) Estimated monthly payment:
Amount Required *
Loan Term *
 Down Payment *
 Trade-in *
 Applicant Type *
Desired Vehicle
Year   
Manufacturer   
Model   
Miles   
VIN   
Employment Information
 Employer *
 Occupation *
 Monthly Income *
 Time on Job *
 Business Phone *
 Address *
 City   
 State   
Zip   
Other Income1
Source   
Monthly Income   
1Income derived from alimony, child support or separate maintenance payments need not be disclosed if you do not want this income to be considered in evaluating your credit worthiness.
Contact Information
 First Name *
 Last Name *
 Email *
 Evening Phone *
 Day Phone *
Fax   
Preferred Contact   
 Address *
City   
State   
 Zip *
Applicant Information
 Soc. Sec. No. * Numbers Only.
 Birthdate * mm/dd/yyyy
 Residence Type *
 Monthly Payment *
 Time at Residence *
Additional Information
Message Text   

I certify that the above information is complete and correct. I authorize you to obtain credit reports about me and investigate my credit history.

1500 S. Hilton Dr, St. George Utah, 84770 - 435.673.1500 - 888.218.8851 - fax 435.673.7019 - View Map - Site Map