Gold Star Finance Loan Application

Please complete the following online application form to begin your loan approval process. Complete all required questions and submit.

Por favor complete la siguiente aplicación en linea para poder comenzar con el proceso de la aprobación de su préstamo. Responda todas las preguntas requeridas y envíe.

Gold Star Office Location

Gold Star Office Local

Loan Request

Solicitud de préstamo

Months of $ Payments

Name

Nombre

Social Security No.

Numero De Seguro Social

Date of Birth

Fecha de Nacimiento

Please tell us about where you live:

Primary Phone

Teléfono Primario

Email Address

Correo Electrónico

Street Address

Dirección

Apt / Room

Apt / Hab

City

Ciudad

State

Estado

ZIP Code

Código Postal

Residence Type

Tipo de Residencia

How Long?

¿Cuanto Tiempo?

Please tell us about your total household income and employment status:

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.

Pension Alimenticia, Manutencion de los hijos o ingreso separado de mantenimiento, no tiene que ser revelada si usted no desea que este sea considerada como base de pago hacia esta obligacion.

Employer / Source of Income

Empleador / Fuente de Ingresos

How Long?

¿Cuanto Tiempo?

Total Income

Ingresos Totales

Per

Por

Please add up your average monthly expenses:

This should include Rent, Utilities, Daycare, Food, Car, Legal Fees, Tuition, Medical/Drug, Clothing/Cleaning, Internet, Phone, Recreation, and any other recurring expenses.

Esto incluye renta, utilidades, guarderia, comida, vehiculo, honorarios legales, matricula, medicos/medicamentos, ropa/limpieza, internet, telefono, recreacion y/o otros gastos recurrentes.

Total Monthly Expenses

Total De Gastos Mensuales

Did anyone refer you to us?

I (We) hereby affirm that the foregoing information is true and correct, is made for the purposes of obtaining a loan and authorize Gold Star Finance to obtain additional information from any source(s) to which Gold Star Finance may apply, each such sources being authorized to provide Gold Star Finance such information. This application, in any event, shall be and remain the property of Gold Star Finance.