GPC Credit Association

Georgia-Pacific Credit Association
Loan Application

ACCT#___________
Please check if you are applying : o Joint Credit o Individual Credit
Amount applied for $______________
Payment Protection Plan (Credit Life & Disability) o Single Life o Disability o None
Length of Repayment - Mos. o 12 o 18 o 24 o 36 o 48 o 60 o Other (Specify)_________
Purpose of Loan (MUST complete) ____________________________________________________
o Payroll Deduction o Coupons
If this is an auto or boat loan, please fill in the following: Make Model Year
New or Used:

Primary Applicant

Name____________________________________ SSN _______________ Birthdate _______________
Present Mailing Address _______________________________________________________________
__________________________________________________________ No. Years_________________
Present Street (only needed if mailing address is POBox) ______________________________________
__________________________________________________________________________________
City________________________________________ State ____________________ Zip ___________
Home Phone #______________________
Cell Phone #_______________________ DL#/State _________________________________________
Email ______________________________________________________________________________
Previous Address (Complete if previous address less than 3 years)
__________________________________________________________ No. Years_________________
City________________________________________ State ____________________ Zip ___________
HOMEOWNERS Please Complete
Purchase Price ____________________Balance Owed______________ Estimated Value _____________

Employers Name/Division ____________________________________________________________

Employers Full Address (Very Important)
_________________________________________________________________________________
Work Phone #__________________ Position _________________ Other Income* ________________
Pay Frequency (Very Important)
o Monthly o Annually o Weekly o Bi-Weekly o Bi-Monthly
Gross _________________ Net ________________ Years Employed ___________________________

*NOTE Alimony, child support, or separate maintenance income need not be revealed if you do not choose
to have it considered.

CREDIT INFORMATION, OUTSTANDING DEBTS: List ALL DEBTS i.e. CAR LOANS, BANK LOANS,
FINANCE COMPANIES, CREDIT UNIONS, DEPT. STORES, CREDIT CARD ACCOUNTS ATTACH
ADDITIONAL SHEET IF NECESSARY

Name of creditors,Value of Assets, Monthly Payment, Amount Owed
Rate if Secured Loan Payments Owed Past Due
1.MTG/RENT_________________________________________________________________________
2.AUTO PMT_________________________________________________________________________
3.___________________________________________________________________________________
4.___________________________________________________________________________________
5.___________________________________________________________________________________
6.___________________________________________________________________________________
7.___________________________________________________________________________________
8.___________________________________________________________________________________

Joint Borrower, Co-Maker (if joint account)

*NOTE Alimony, child support, or separate maintenance income need not be revealed if you do not choose
to have it considered.

CREDIT INFORMATION, OUTSTANDING DEBTS: List ALL DEBTS i.e. CAR LOANS, BANK LOANS,
FINANCE COMPANIES, CREDIT UNIONS, DEPT. STORES, CREDIT CARD ACCOUNTS ATTACH
ADDITIONAL SHEET IF NECESSARY

To the best of my knowledge, I have no other debts. I understand that you will retain this application whether
or not it is approved. You are authorized to check my credit and employment plus answer any questions regarding
my credit experience with you.

Primary Applicant's Signature_________________________________________ Date______________________________

Joint Applicant's Signature___________________________________________ Date______________________________

JOINT ACKNOWLEDGEMENT: (If this is a joint application, both applicants must sign below.)

I acknowledge and accept that this is a joing application and by signing below, I agree that I am applying for joint credit.

Primary Applicant's Signature_________________________________________ Date______________________________

Joint Applicant's Signature___________________________________________ Date______________________________