Finance Credit Assessment Form
Please fill out the Finance Credit Assessment Form accurately and completely. Ensure you provide all the necessary details to assist [Your Company Name] in evaluating your credit application. Your cooperation in providing accurate information is appreciated.
Applicant Information
Applicant's Name: | |
Email Address: | |
Contact Number: | |
Application Date: | |
Loan Amount Requested: | |
Employment and Financial Information
Current Employer: | |
Position: | |
Annual Income: | |
Other Income Sources: | |
Length of Employment: | |
Credit Information
Credit Score: | |
Current Debts: | |
Monthly Obligations: | |
Previous Loan History: | |
Bankruptcy History: | |
Collateral Information (if applicable)
Type of Collateral: | |
Collateral Value: | |
Existing Liens: | |
References
Reference #1 Name: | |
Relationship: | |
Contact Information: | |
Reference #2 Name: | |
Relationship: | |
Contact Information: | |
Certification and Authorization
I certify that all information provided in this form is accurate and complete to the best of my knowledge. I authorize [Your Company Name] to verify all aspects of this application and to obtain credit reports for the purpose of evaluating this credit application.

Date: [Month Day Year]
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