Consumer Credit Application Form PDF Details

When delving into the realm of securing credit, the Consumer Credit Application form plays a pivotal role as a standardized document for applicants. This form, utilized by organizations like Kubota Credit Corporation in the U.S.A., serves as an essential first step in the credit approval process. Applicants are required to choose between individual or joint credit, providing detailed personal, residential, and employment information. Critical to understanding, the application encompasses sections dedicated to previous addresses if relocation occurred within the past three years, prior financial engagements with Kubota or other financial setbacks, and current income sources to assess creditworthiness. Moreover, it solicits information on references and authorizes contact from Kubota through various communication means. The document stresses fairness and compliance with federal laws against discrimination in credit applications, ensuring all applicants are evaluated equally based on their financial standing and history. Applicants have the right to understand why credit may be denied, with specifics provided upon request. Additionally, the form caters to residents of specific states like Maine, Wisconsin, and Ohio by recognizing unique legal requirements and rights related to consumer credit within those jurisdictions. The application concludes with authorizations concerning the applicant's agreements to contact terms, credit report uses, and information sharing with affiliates and third-party partners for credit-related services. This document underlines the significant interplay between providing comprehensive personal financial information and the procedural frameworks businesses employ to make informed credit decisions, emphasizing consumer rights and corporate responsibilities.

QuestionAnswer
Form NameConsumer Credit Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameskubota application, consumer credit application, kubota credit application, kubota consumer credit application

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CONSUMER CREDIT APPLICATION

KUBOTA CREDIT CORPORATION, U.S.A.

IMPORTANT: Read these directions before completing this application.

Check appropriate box for type of credit requested: Individual credit Joint credit

Initial here if you intend to apply for joint credit:

_________

_____________

 

Applicant

Co-Applicant(s)

Co-applicants must execute separate application. Married applicants may apply for a separate account.

PART 1 – APPLICANT INFORMATION

First Name: ____________________________________ Middle: _______________________Last: ______________________________Suffix: ___________

Street Address: _______________________________________________________________ City: ______________________________________________

County _______________________________________ State: __________ Zip: ________________Yrs. At Address: _____ U.S. Citizen? Yes ___ No ___

DL/Passport # _________________________________ State Issued In _________ Country (if non US Citizen) _______________Expires on ______________

Date of Birth: __________________ Social Security # ________________________________ E-mail Address ______________________________________

Residence Telephone ______________________ Residence Fax _______________________ Cell Telephone ______________________________________

What is your type of residence?

Own

Rent

Lease

Board

Other / describe

PART 2 - GENERAL MAILING AND ADDRESS INFORMATION (IF DIFFERENT THAN PART 1)

Please Complete the Mailing Address If It Is Different Than the Street Address

Mailing Address: ________________________________________________________________________________________________________________

City: _________________________________________________________________________State: _____ Zip: ______________

If At Address Less Than 3 Years, Please Indicate Your Previous Address

Street Address: __________________________________________________________________________________________________________________

City: _________________________________________________________________________State: _____ Zip: ______________ Yrs. At Address: ______

PART 3- PLEASE INDICATE WHICH OF THE BELOW ITEMS MAY APPLY TO YOU, CURRENTLY OR IN THE PAST

Prior Financing With Kubota Credit Corporation

Judgment

 

Filed Bankruptcy

Prior/Current Repossession Prior/Current Foreclosure

Tax Lien

None of The Above

PART 4 – EMPLOYER INFORMATION

Please indicate if Retired ____ Self Employed ____. If Retired or Self Employed, please indicate Gross monthly income $ _____________________________

Current Employer Name: _________________________________________________Address: _________________________________________________

City: _______________________________________________________State: _____ Zip: ______________ Work Tel: _____________________________

Current Position: ________________________________________________________ Gross Monthly Salary $___________________ Years on Job ______

PART 5 - PREVIOUS EMPLOYER (If At Current Employer Less Than 2 Years)

Previous Employer Name:________________________________________________ Address: _________________________________________________

City: _______________________________________________________State: _____ Zip: ______________ Work Tel: _____________________________

Position: ______________________________________________________________ Gross Monthly Salary $____________________ Years on Job _____

PART 6 - OTHER INCOME (Alimony, Child Support, or Separate Maintenance Payments Need Not Be Disclosed Unless Relied Upon For Creditworthiness)

Source of Other Income __________________________________________________________ Gross Monthly Amount $____________________________

PART 7 - REFERENCES

 

Nearest Relative Not Living With You

 

Other Reference Information

 

Name

Name

 

 

Address

Address

 

 

Address

Address

 

 

City, State, Zip

City, State, Zip

 

 

Telephone Number

Telephone Number

 

 

Relationship

Person To Contact

 

 

 

Acct Number

Mo. Pmt. Amt:

PART 8 – AUTHORIZATION TO CONTACT

The federal Equal Opportunity Act prohibits creditors from discriminating against applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington D.C. 20580. If your application for credit is denied, you have the right to a written statement of the specific reasons for the denial.

 

CO-APPLICANTS MUST EXECUTE A SEPARATE APPLICATION

Application Number: ______________________________

CONSAPP (Rev. 09/14)

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LA 51586918v1 11/26/13 1:13 PM

CONSUMER CREDIT APPLICATION

KUBOTA CREDIT CORPORATION, U.S.A.

(A)AUTHORIZATION TO CONTACT ME BY PHONE. I AUTHORIZE KUBOTA, ITS AFFILIATES, AGENTS AND INDEPENDENT CONTRACTORS TO CONTACT ME AT ANY TELEPHONE NUMBER I PROVIDE TO KUBOTA OR FROM WHICH I PLACE A CALL TO KUBOTA, OR ANY TELEPHONE NUMBER WHERE KUBOTA BELIEVES IT MAY REACH ME, USING ANY MEANS OF COMMUNICATION, INCLUDING, BUT NOT LIMITED TO, CALLS OR TEXT MESSAGES TO MOBILE, CELLULAR, WIRELESS OR SIMILAR DEVICES AND CALLS OR TEXT MESSAGES USING AN AUTOMATED TELEPHONE DIALING SYSTEM AND/OR ARTIFICIAL VOICES OR PRERECORDED MESSAGES, EVEN IF I INCUR CHARGES FOR RECEIVING SUCH COMMUNICATIONS. (B) AUTHORIZATION TO CONTACT ME BY OTHER MEANS. I ALSO AGREE THAT KUBOTA, ITS AFFILIATES, AGENTS AND INDEPENDENT CONTRACTORS MAY USE ANY OTHER MEDIUM, AS PERMITTED BY LAW AND INCLUDING, BUT NOT LIMITED TO, MAIL, E-MAIL AND FACSIMILE, TO CONTACT ME. (C) RIGHTS TO OPT-OUT OR MAKE CHANGES. I UNDERSTAND THAT I AM NOT REQUIRED TO AGREE TO SECTIONS (A) OR (B) ABOVE AS A CONDITION TO OBTAINING CREDIT FROM KUBOTA. If I wish to opt out of section (A) and/or (B), or if I want to change how Kubota contacts me, including with respect to any telephone number that Kubota might use, I may call Kubota at 1-800-624-7082 or write to Kubota at 4400 Amon Carter Blvd. Suite 100 Fort Worth, TX 76155.

Maine Residents: If this application is approved, I understand that: (i) I must maintain physical damage insurance on the collateral securing the debt; (ii) I have the right of free choice in the selection of the agent and insurer through which the insurance is placed (including the right to choose an agent or broker not affiliated with you); and (iii) obtaining insurance from a particular agent or broker will not affect Kubota’s credit decision if Kubota determines the selected insurance satisfies the terms of credit. Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. Wisconsin Residents: No provision of a marital property agreement, a unilateral statement under Wis. Stat. § 766.59, or a court decree under Wis. Stat. § 766.70 adversely affects the creditor’s interest, unless the creditor, before credit is granted, is furnished with a copy of the agreement, statement, or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred. If I am a married Wisconsin applicant and my spouse is not a co-applicant for credit with me, then the name and address Kubota may use to notify my spouse about this credit application before any payment is due is: _________________________________________________.

I understand and agree that Kubota may obtain and use credit reports about me from credit reporting agencies: (i) to evaluate this Application; and (ii) if this Application is approved, for purposes of updating, renewing, extending, reviewing, servicing, and collecting the account, as well as other legitimate purposes associated with the account. I understand Kubota will, upon my request, inform me whether a credit report was requested and, if it was, Kubota will provide the name and address of the credit reporting agency that furnished the report.

I understand Kubota may report information about my account to credit reporting agencies. I also understand that late payments, missed payments, or other defaults on my account may be reflected in my credit report(s).

To dispute any information on a credit report that is reported by Kubota, send a written notice of dispute to the Servicing Center, 4400 Amon Carter Blvd. Suite 100 Fort Worth, TX 76155. Disputes sent to any other address or that are not received from a credit reporting agency will not be investigated. You must include your account number, the specific information you dispute, the basis for your dispute and all supporting documentation or other information you wish to be considered.

I understand that Kubota may provide the information that I provide in this Application to its affiliates and its non-affiliated third-party business partners to use for the purpose of determining my eligibility for products or services I have requested by completing this Application and/or for their everyday business purposes in providing services to me that result from this Application. Kubota’s affiliates may also use this information when they are considering whether to offer financial or other products or services to me, unless I instruct Kubota not to share my information for this purpose. Kubota’s non-affiliated third-party business partners, including those it uses to provide services to you resulting from this Application, may also use information obtained from this Application to market products or services to the undersigned, unless the undersigned instructs Kubota not to share such information for this purpose. Kubota hereafter will provide me with its privacy notice regarding my ability to permit or restrict Kubota’s sharing of my information with its affiliates.

In the event the undersigned does not become, or ceases to be, a Kubota customer, Kubota may still provide the information obtained from this Application in the manner, and subject to the limitations, set forth above. However, the undersigned may contact Kubota at any time to limit such sharing.

You otherwise agree that Kubota may release any such information if Kubota believes it is required to comply with any governmental or legal process, whether or not such release is actually required, or when it is necessary or desirable in connection with a transaction or investigating a potential loss.

I agree this application shall remain Kubota’s property, regardless of whether financing is granted.

I understand that this Application is made to Kubota or its designee.

I acknowledge receiving a copy of this Application.

Applicant Signature________________________________________________________________________________ Date: ______________________

Print Applicant Name __________________________________________________________________________________________________________

 

CO-APPLICANTS MUST EXECUTE A SEPARATE APPLICATION

Application Number: ______________________________

CONSAPP (Rev. 09/14)

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LA 51586918v1 11/26/13 1:13 PM

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1. First of all, when completing the consumer credit application, beging with the area containing next fields:

A way to prepare consumer credit application form step 1

2. Right after this part is done, proceed to enter the suitable information in all these - PART PLEASE INDICATE WHICH OF THE, Prior Financing With Kubota Credit, Filed Bankruptcy, PriorCurrent Repossession, Tax Lien, None of The Above, PART EMPLOYER INFORMATION, Please indicate if Retired Self, Current Employer Name Address, City State Zip Work Tel, Current Position Gross Monthly, PART PREVIOUS EMPLOYER If At, Previous Employer Name Address, City State Zip Work Tel, and Position Gross Monthly Salary.

consumer credit application form writing process explained (step 2)

3. This part is usually simple - complete every one of the fields in Name Address Address City State, Name Address Address City State, PART AUTHORIZATION TO CONTACT, The federal Equal Opportunity Act, COAPPLICANTS MUST EXECUTE A, Application Number CONSAPP Rev, and Page of to conclude the current step.

Part number 3 of submitting consumer credit application form

In terms of Page of and COAPPLICANTS MUST EXECUTE A, make sure that you double-check them in this current part. Those two are certainly the key fields in the file.

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Part # 4 for submitting consumer credit application form

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