Southern Finance Online Credit Application

If you would like to submit an on-line loan application, please complete the following form then click the Submit button at the bottom of this page. If you prefer, you may print the application, fill it out, and fax it to us at (423) 247-1193.

.......also feel free to call us at (423) 247-1191!

Please select the office to which you wish to apply:

* Indicates required fields.

Your Name: *

Price (including tax): * Down Payment: * Advance: *

Dealer: * Date: * Purchasing: *

Amount: * Name: * D.O.B.: *

SSN.: * Address: * City: *

State & Zip: * How Long at Present Address? *

years months

Home Phone: * Previous address: *

How Long at Previous Address? * # of Dependents: *

years months

Landlord or Mortgage Co.: * Monthly Payments: *

Market Value: * Balance: * Present Employer: *

Work Phone: How Long With Present Employer? *

years months

Title/Department: * Gross Income: * Other Income:

Previous Employer: * How Long With Previous Employer? *

years months

CO-APPLICANT:

Co-Applicant: D.O.B.: SSN:

Co-Applicant Employer: Work Phone: Occupation:

How Long With Current Employer? Gross Income:

years months

Previous Employer: How Long With Previous Employer?

years months

CREDIT REFERENCES:

1. Name of Creditor:

Account Number: Payment: Balance:

2. Name of Creditor:

Account Number: Payment: Balance:

3. Name of Creditor:

Account Number: Payment: Balance:

4. Name of Creditor:

Account Number: Payment: Balance:

PERSONAL REFERENCES:

1. Name of Relative:

Address: Phone: Relation:

2. Name of Relative:

Address: Phone: Relation:

3. Name of Relative:

Address: Phone: Relation:

Type of Auto: Bank Reference: Checking & Savings: *
(Yes or No)

Chk Sav.

Have You Ever Filed Bankruptcy? *

Today's Date: Your Email Address:

Submit Will Send Application
Reset Will Clear All Fields

NOTICE: Whether or not married, you have the right to apply for credit separately from or jointly with your spouse or any other person.

NOTICE: alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a bases to repaying this obligation.

Southern Finance &
Thrift Corp. of Kingsport
246 East Center Street
Kingsport, TN 37660
Office: (423) 247-1191
Fax: (423) 247-1193
Email Us Southern Finance Corp. & Mortgage Corp.
1624 U.S. Highway 23 N, Suite 102
Weber City, VA 24290
Office: (276) 386-9119
Fax: (276) 386-2324
Licensed by the Virginia State Corporation Commission
as MC-957
Email Us

Southern Finance &
Thrift Corp. of Elizabethton
112 South Sycamore Street
Elizabethton, TN 37660
Office: (423)542 -2165
Fax: (423) 542-2167
Email Us Southern Finance &
Thrift Corp. of Johnson City
1613 West Market Street
Johnson City, TN 37601
Office: (423) 434-2990
Fax: (423) 434-0899
Email Us

* Indicates required fields.
Your Name: *
Price (including tax): *	Down Payment: *	Advance: *

Dealer: *	Date: *	Purchasing: *

Amount: *	Name: *	D.O.B.: *

SSN.: *	Address: *	City: *

State & Zip: *	How Long at Present Address? *
	years months
Home Phone: *	Previous address: *

How Long at Previous Address? *		# of Dependents: *
years months
Landlord or Mortgage Co.: *		Monthly Payments: *

Market Value: *	Balance: *	Present Employer: *

Work Phone:	How Long With Present Employer? *
	years months
Title/Department: *	Gross Income: *	Other Income:

Previous Employer: *	How Long With Previous Employer? *
	years months

CO-APPLICANT:
Co-Applicant:	D.O.B.:	SSN:

Co-Applicant Employer:	Work Phone:	Occupation:

How Long With Current Employer?		Gross Income:
years months
Previous Employer:	How Long With Previous Employer?
	years months

CREDIT REFERENCES:
1. Name of Creditor:

Account Number:	Payment:	Balance:

2. Name of Creditor:

Account Number:	Payment:	Balance:

3. Name of Creditor:

Account Number:	Payment:	Balance:

4. Name of Creditor:

Account Number:	Payment:	Balance:







PERSONAL REFERENCES:
1. Name of Relative:

Address:	Phone:	Relation:

2. Name of Relative:

Address:	Phone:	Relation:

3. Name of Relative:

Address:	Phone:	Relation:


Type of Auto:	Bank Reference:	Checking & Savings: * (Yes or No)
		Chk Sav.
Have You Ever Filed Bankruptcy? *


Today's Date:	Your Email Address:

	Submit Will Send Application Reset Will Clear All Fields

Southern Finance & Thrift Corp. of Kingsport 246 East Center Street Kingsport, TN 37660 Office: (423) 247-1191 Fax: (423) 247-1193 Email Us	Southern Finance Corp. & Mortgage Corp. 1624 U.S. Highway 23 N, Suite 102 Weber City, VA 24290 Office: (276) 386-9119 Fax: (276) 386-2324 Licensed by the Virginia State Corporation Commission as MC-957 Email Us
Southern Finance & Thrift Corp. of Elizabethton 112 South Sycamore Street Elizabethton, TN 37660 Office: (423)542 -2165 Fax: (423) 542-2167 Email Us	Southern Finance & Thrift Corp. of Johnson City 1613 West Market Street Johnson City, TN 37601 Office: (423) 434-2990 Fax: (423) 434-0899 Email Us