RETAIL CREDIT APPLICATION				FAX 901-365-4276
Credit Applied For:
______	Joint	______	Individual	______ Date
1. APPLICANT: For an individual account, please complete this section and sign in Section 3.							(Please Print)
Last Name   First name   MI  Suffix			(Ex: Jr., Sr., 3, 4)	#Depend	D.O.B.	Soc Sec. #		Drivers License#
					/    /
Present Address	Street or P.O. Box #      City          State  Zip			Home Phone	Prev. Address (If Less Than 3 Yrs. At Present)    Street or P.O. Box #
					City               State  Zip
Yrs.           Mo.				(   )	Yrs.	Mo.
Employer - (If Self-Employed, State Co. Name)    Location				Employer            Phone	Title/    Position	Mo. Net Income	Other Income (Alimony, child support, or separate maintenance income need not be disclosed unless relied upon for credit)                   $                       Source
Yrs.          Mo.				(   )		$
Prev. Employer - (If less than 3 Yrs. At present)    Location				Prev. Employer's Phone	Indicate # of each owned:
					Savings	Checking	None
Yrs.          Mo.				(   )	___ MasterCard   ___ Optima   ___ Dept. Store   ___ Visa  ___ Discover
Buying   Renting	Cost of Home	Mtg. Balance	Value of Home	Mo. Rent/Mtg. Pmt.	Bank Reference	State	City	Zip
Own   Other	$	$	$	$
Personal Reference (Not Living With You)				Street or P.O. Box #	State	City	Zip	Reference Phone
								(   )
2. JOINT APPLICANT OR AUTHORIZED USERS: Complete this section only if this is a joint application and  joint applicant will be contractually liable for repayment or if applicant is relying on another party's income.  Joint applicant must be sign in Section 3.
Last Name   First name   MI  Suffix (Ex: Jr., Sr., 3, 4)				Soc. Sec. #	Drivers License#		D.O.B.	Home Phone
							/   /	(   )
Present Address	Street or P.O. Box #      City           State      Zip			Employer - (If Self-Employed, State Co. Name)            Location
Yrs.           Mo.				Yrs.          Mo.
Employer Phone	Mo. Net Income	Title / Position		Other income (Alimony, child support, or separate maintenance income need not be disclosed unless relied for credit)
(   )	$			$                                                                       Source
3.  APPLICANT/JOINT APPLICANT:  Please Read and Sign Below.
FAIR CREDIT REPORTING ACT NOTICE TO CONSUMER
THIS WILL ADVISE YOU THAT YOUR RETAIL SALES CONTRACT AND BUYER'S APPLICATION FOR CREDIT WILL BE SUBMITTED TO THE FOLLOWING FINANCIAL INSTITUTION FOR PURCHASE AND CONSIDERATION AS TO WHETHER THEY MEET THEIR CREDIT REQUIREMENTS:  AMERICAN GENERAL FINANCE, P.O. BOX 59, EVANSVILLE, IN.  47701
American General Finance (or whichever of its affiliates may be considering an extension of credit pursuant to your credit application) may share with its affiliates any information it contains from your credit application or acceptance certificate and any transactions and experiences between you and it. In addition, it may share with its affiliates any other information relating to you; however, you may request that such information not be shared with affiliates by notifying using writing at this branch or by initialing this box.                                                       I have reviewed the above disclosure_________________________________(Applicant)
I authorize the Creditor and American General Finance to make whatever inquiries it deems necessary in connection with this credit application and in the course of review or collection of any credit extended in reliance on this application.  I further authorize any person or Consumer Reporting Agency to complete and furnish to the Creditor and American General any information that it may have or obtain in response to such inquiries, and agree that such information, along with this application shall remain the Creditor's and American General Finance's property, whether or not credit is extended.  All information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining the credit requested.
I/WE UNDERSTAND THAT FROM TIME TO TIME YOU WILL NOTIFY YOUR CUSTOMERS WHEN ADDITIONAL FINANCIAL SERVICES ARE AVAILABLE TO THEM, THAT IS DONE BY TELEPHONE AND/OR MAIL, AND THAT SUCH SERVICES MAY INCLUDE NEGOTIABLE CHECKS WHICH I/WE MAY ENDORSE TO GET THE LOAN REPRESENTED BY THE CHECK OR DESTROY IF I/WE DO NOT WISH TO ACCEPT THE LOAN OFFER.  (IF APPLICANT (S) DOES NOT WISH TO RECEIVE ABOVE DESCRIBED SOLICITATION, ABOVE PARAGRAPH SHOULD BE BE STRICKEN.)
___ DO   ___ DO NOT include Credit Life Insurance   ___ DO   ___ DO NOT include Credit Disability Insurance on my account.
x					x
Applicant's Signature			Date		Joint Applicant's Signature			Date
4. MERCHANT USE ONLY
Merchandise		Total Purchase		Dn.Pmt.Amount		Trade-in		Net Balance
Name of seller: Critter Ridders Fax: 901-365-6309