American Finance Company

 First Name  Middle Initial Last Name

 

SSN#         Birth date        

 

Address    

 

City         State         Zip Code           

 

Phone    

 

Job Title                How Long                 Monthly Salary                 

 

Employer Address                 

 

City         State              Zip Code      

 

Phone    

 

Other Income    Source   

 

Monthly Rent or Mortgage             

 

Auto Year & Make     Auto monthly payment   

 

Amount of Loan                  Purpose of Loan       

 

e-mail     How did you hear about us    

 

 

 

 

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Consolidated Loan Company Home Office

430 West Tift Avenue

P. O. Box 46

Albany, Georgia 31702

To contact us: