Comfort Masters Credit Application

Primary Applicant Info
I will be applying Individually With co-applicant
Your Name		Social Security #	Date of Birth (mm/dd/yyyy)
Contact Phone 1	Contact Phone 2	Email Address
I would like to be added to your mailing list Yes No		Current Address
Mailing Address (If different from above)		How long at this address?
Previous Address		Do you own property? Yes No	Bank account information Checking Savings both neither
Desired amount of loan	Net monthly salary	Are you currently a Comfort Masters customer? Yes No	Are you currently retired? Yes No
Current Employer (if employed)		How long?
Previous Employer		How long?

Consent to Terms and Submit Application
I have read and accept the Terms of Use Yes No
Applicant or Co-Applicant information should be completed as applicable. Co-Applicant information must also be provided when the income or the assets of a person other than the "Applicant" (including the Applicant's spouse) will be used as a basis for loan qualification or the income or assets of the Applicant's spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered because the Applicant resides in a community property state, the security property is located in a community property state, or the Applicant is relying on other property located in a community property state as a basis for repayment of this loan. Married persons may apply for credit as an individual. If this is an application for an individual account and you are relying on your own income or assets (except community property states, your separate income or assets) and not the income or assets of another person (or community property) for repayment of the credit requested, questions relative to marital status and to income resources and assets of the spouse's need not be answered. However, only the applicant's resources will be evaluated in determining credit worthiness. By submitting this application, you authorize American General Finance to make whatever credit inquiries that it deems necessary in connection with this credit application or in the course of review, collection, refinancing or consolidation of any credit extended in reliance on this application. You authorize and instruct any person or consumer reporting agency to compile and furnish to American General Finance any information that it may have to obtain in response to such information along with this application, shall remain American General Finance's property whether or not credit is extended. American General Finance (or whichever of its affiliates may be considering an extension of credit pursuant to your credit application) may share with its affiliates any information it obtains from your credit application or acceptance certificate and any transactions and experiences between you and it. In addition, it may share with its affiliates any other information relation to you, however, you may request that such information not be shared with affiliates by notifying us in writing at any American General Finance Branch.

Co-Applicant Info
Co-Applicants Name		Social Security #	Date of Birth
Contact Number	Current Address (if different from primary applicant)		How long at this address?
Net Monthly Salary		Are you currently retired? Yes No
Current Employer (previous employer if retired)		How long?