Kris An Charles Investments  »  Loan Application

Please Fill Information Requested Below And Check Applicable Boxes
 
I Hereby Make Application For A Loan Of:
Payable In (Months):
I Prefer My Monthly Payments Due On (Day Of Month):
Purpose Of Loan:
Send Mail To:Home Address Business Address
MR. MRS. MISS
Single Married Seperated
Name:
Name Of Spouse:
Date Of Birth:
No Of Children:
Home Telephone:
Present Home Address
Number & Street:
City:
Dist. No:
Years There:
Own Rent
Previous Home Address
Number & Street:
City:
Dist. No:
Years There:
Name And Address Of Nearest Relative Not Living With You:
Name And Address Of Nearest Friend Who Can Recommend You:
Employment Or Business
Firm Name:
Telephone No:
Length Of Service:
Type Of Business:
Position:
Number & Street:
City:
Dist. No:
Name And Address Of Spouse's Employer:
Spouse's Employer Telephone No:
Spouse's Length Of Service:
Monthly Income ($):
Spouse's Monthly Income ($):
Other Income ($):
Other Income Source:
If With Present Employer Less Than Two Years, Give Previous Employer Info:
Bank Information
Personal Bank & Branch Address:
Personal Bank Account No:
Business Bank & Branch Address:
Business Bank Account No:
Savings Bank & Branch Address:
Savings Bank Account No:
Other Assets
Year & Make Of Automobile Owned
Title In The Name Of
Balance Due
Real Estate Address:
Original Cost
Monthly Payment
Morgage Balance
Morgage Held By
List All Indebtedness Below, If None, List Credit References
Creditor 1
Creditor 1 Address:
Creditor 1 Date Incured:
Creditor 1 Original Amount ($):
Creditor 1 Unpaid Balance:
Creditor 1 No. Payments:
Creditor 2
Creditor 2 Address:
Creditor 2 Date Incured:
Creditor 2 Original Amount:
Creditor 2 Unpaid Balance:
Creditor 2 No. Payments:
Creditor 3
Creditor 3 Address:
Creditor 3 Date Incured:
Creditor 3 Original Amount:
Creditor 3 Unpaid Balance:
Creditor 3 No. Payments:
As Of This Date All My Debts Total ($):
Any Outstanding Judgements, Garnishes Or Other Legal Proceedings Against You?No Yes
Have You Ever Been A Borrower Or Guarantor In The Personal Credit Department Of This Bank?No Yes
I affirm that each of the foregoing statements are true and correct and made for the sole purpose of including Kris An Charles Investments to extend credit to me. I agree that this application may remain your property and I will notify the company of any material change in this statement. You are authorized to obtain any information you may require relating to this application, from my employer, if any, and from any other sources.
Signature:
Date:
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Our Locations

6 Eureka Crescent, Kingston 5
Phone: 876-920-4189 or 876-926-0609
Fax: 876-926-1137

15A Old Hope Road, Kingston 5
Phone: 876-754-6480 or 876-926-0609
Digicel: 876-618-1252

Shop 4, Lot 5 Caledonia Plaza Mall, Mandeville
Phone: 876-962-LOAN (5626) or 876-962-8854
Digicel: 876-374
Fax: 876-625-1075

Shop 14, Corner Stone Mall, Lewis Street, Savanna-la-mar
Digicel: 876-374-9432
Fax 876-955-3482

10C Market Street, Montego Bay, St James.
Phone: 876-971-LOAN (5626)
Fax 876-971-1005

Shop FF # 3 Island Plaza, Main Street, Ocho Rios
Phone: 876-974-7317
Digicel: 876-409-7949
Fax 876-974-7316

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