TCFinance: Loan Form

» LOAN APPLICATION

Insert the fields necessary for your loan-application:

(fields marked by * are required)

Last name

First name

Middle initial

SSN

Branch

* Select RESERVE if you are Reserve or National Guard

Please indicate your current status

career * Select one of the following
national guard active
national guard inactive
reserve active
reserve inactive
retired
civilian

Grade

Military Address

Unit address

CMR / PSC (if Applicable)

APO address (or City, State ZIP)

Country

Stateside Address

Street address

City, State ZIP

Country

E-Mail address

ETS

Year	Month	Day
		*

DEROS

Year	Month	Day
		*

Stateside / Overseas delivery

Total $ mid month + EOM pay on LES

* This field should correspond to your net pay after tax, rent and other bill payments.

No. of dependents excluding self

Sales location

Sales agent name

Sales agent to forward LES and Purchase-
Order to complete application.

Sales agent email

Estimated delivery date

Year	Month	Day
		*

Year, Make, Model

Year	Make	Model
		*

Total delivered price $ (approx.)

Requested finance amount $

I have	have not	filed bankruptcy within the last 24 months.
I do	do not	intend to reenlist at the end of my present term.
I do	do not	have any present disciplinary actions or medical discharge pending against me which could make me separate prior to my present ETS.

I hereby represent, warrant, and confirm that all foregoing statements on this application are true and have been made by me knowing that T.C. Corp will rely thereon considering the application. I acknowledge that section 1014 of title 18 of the U.S. Code makes it a Federal Crime to make false statements or reports on this loan application. I authorize you to obtain any information you may require relative to this application, from my Commanding Officer, First Sergeant, Employer, and from other sources to which you may apply, each source being authorized by me to provide you such information. I agree that if any situation arises before this loan is made which materially changes any of the representations herein made by me, I will promptly notify you.

I have read and agree to the above

yes no

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