Powerhouse Finance Application

Do you know Which Machine You will be purchasing?
Vehicle Description
What is the year, make, and model of the vehicle you will be purchansing?
Year Make Model
Will you be applying individually or with a co-borrower?
Borrower Information

Personal Information
Name*
First Middle Last
Home Phone
Cell Phone
Email Address
Social Security Number
Driver's License #
Birth Date*

Day
Month
Year
Are You a US Citizen?*
What is your marital status?
Address*
Street Address Address Line 2 City State ZIP Code
Have you lived at this address for at least two years?*
- Yes
- No
Is the above address the same as your billing/mailing address?*
- Yes
- No
Mailing Address
Street Address Address Line 2 City State ZIP Code
Previous Address*
Street Address Address Line 2 City State ZIP Code
Financial Information
Do You Own Or Rent Your Home?*
Monthly Rent Payment
Landlord Name
Monthly Mortgage Payment
Mortgagee
Balance
Purchase Price
Employment Information
Current Employer Name*
Employer Phone #*
Occupation/Job Tittle Years Employed
Gross Monthly Income*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Have you been employed at this place for less than 3 years?
Previous Employer Information
Employer Name Years Employed
Other Source Of Income Per Month
**(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Co-Applicant Information

Name*
First Middle Last
Home Phone
Cell Phone
Email
Social Security Number
Driver's License #
Birth Date*

Day
Month
Year
Are You a US Citizen?*
What is your marital status?
Is your address the same as the primary borrowers address?
Address*
Street Address Address Line 2 City State ZIP Code
Have you lived at this address for at least two years?*
- Yes
- No
Is the above address the same as your billing/mailing address?*
- Yes
- No
Mailing Address
Street Address Address Line 2 City State ZIP Code
Previous Address*
Street Address Address Line 2 City State ZIP Code
Co-Applicant Financial Information
Monthly Rent Payment
Landlord Name
Mortgagee
Balance
Purchase Price
Co-Applicant Employment Information
Current Employer
Employer Phone #
Co-Applicant Employment Info.
Occupation/Job Tittle Years Employed Gross Monthly Income
Employer Address
Street Address Address Line 2 City State ZIP Code
Have you been employed at this place for less than 3 years?
Previous Employer Information
Employer Name Years Employed
Other Source Of Income Per Month
**(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Section Break
I/We agree to having our credit pulled by TruNorth Dealer Services for the purpose of securing financing of one or more vehicles or goods from your dealership/organization**
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.

Occupation/Job Tittle	Years Employed

Occupation/Job Tittle	Years Employed	Gross Monthly Income

Borrower Information