Credit Application

 
PRIMARY APPLICANT INFORMATION
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  7. (valid email required)
CURRENT MAILING ADDRESS
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APPLICANT EMPLOYMENT
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APPLICANT’S OTHER INCOME
CO-APPLICANT INFORMATION
  1. Current Mailing Address
  2. Previous Address (if less than 2 years at current address)
CO-APPLICANT EMPLOYMENT
CO-APPLICANT’S OTHER INCOME
Additional Info
FINAL INFORMATION & APP SUBMISSION
  1. Fair Credit Reporting Act Notice to Consumer:This will advise you that your retail installment contract and credit application will be submitted to West Valley View Inc., for purchase and consideration as to whether you meet their credit requirements.
  2. Notice: To New York Residents. West Valley View Inc., may obtain a consumer report on you in connection with your credit application. Upon request by you, West Valley View Inc., will tell you whether or not a consumer report was obtained and the name and address of the consumer reporting agency that furnished the report.
  3. I hereby declare that all of the statements made in this application are true and correct and are made for the purpose of obtaining credit. You are authorized to investigate my credit record, to verify credit, employment and income references, to obtain such other information as West Valley deems necessary, and to give credit reporting agencies (credit bureaus) and others information regarding your credit experience with me.#
Please Enter The Code Below to Submit


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