7340 E. Caley Avenue, Suite 215W, Centennial, CO 80111 | P: (303) 471-8325 | F: (303) 471-8496 | www.HFICO.com | Submit to app@hfico.com

Kingstar

Credit Application
How are you filing?
- Single
- Joint
Name*
First * Middle Initial Last * Suffix
Date of Birth*
Month
Day
Year
US Citizen?
Social Security Number*
Email Address
Home Phone With Area Code
Current Address*
Street Address
City*
City
State*
State
Zip Code*
ZIP Code
This field is hidden when viewing the form
Length of Residence
Years Months
Length of Residence*
Monthly Payment
Own / Rent / Other
Landlord / Mortgage Company
Previous Address
Street Address

If less than two years at current residence
City
City
State
State
Zip Code
ZIP Code
This field is hidden when viewing the form
Previous Address
If less than two years at current residence

Street Address Address Line 2 City State ZIP Code
This field is hidden when viewing the form
Length of Residence at Previous Address
Years Months
Length of Residence at Previous Address
Cell Phone
Business Phone*
Business / Employer*
Occupation*
Employment Status
This field is hidden when viewing the form
Length of Employment
Years Months
Length of Employment
Gross Monthly Income*
Additional Income
Source of Additional Income
Previous Employment
If less than two years at current job
Previous Occupation
This field is hidden when viewing the form
Length of Previous Employment
Years Months
Length of Previous Employment
Co-Applicant Information
Co-Applicant's relationship to Applicant*
Other*
Name*
Prefix First Middle Last
Date of Birth*
Month
Day
Year
US Citizen?*
Social Security Number*
Email Address
Primary Phone*
Current Address
Same as Applicant's

Street Address
City
City
State
State
Zip
ZIP Code
This field is hidden when viewing the form
Length of Residence
Years Months
Length of Residence
Own / Rent / Other
Monthly Payment
Landlord / Mortgage Company
This field is hidden when viewing the form
Previous Address
If less than two years at current residence

Street Address Address Line 2 City State ZIP Code
Previous Address
Street Address

If less than two years at current residence
City
City
State
State
Zip
ZIP Code
This field is hidden when viewing the form
Length of Residence at Previous Address
Years Months
Length of Residence at Previous Address
Cell Phone
Business Phone*
Business / Employer*
Occupation*
Employment Status
This field is hidden when viewing the form
Length of Employment
Years Months
Length of Employment*
Gross Monthly Income*
Additional Income
Source of Additional Income
Previous Employment
If less than two years at current job
Previous Occupation
This field is hidden when viewing the form
Length of Previous Employment
Years Months
Length of Previous Employment
Additional Comments
Dealer and Collateral Information
Product Type
New / Used
Year
Make
Model
Dealer Name
Dealer's Phone
Dealer's Fax
Submitted By
Purchase Price
Down Payment
Trade-In
Payoff Balance on Trade
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Cash Down
Sales Tax
Title and Registration Fees
Other Fees
Loan Amount
Terms and Conditions
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Terms and Conditions
Please read through the Agreement below and let us know you understand and agree by checking the “I Agree” box below.

I certify that the above information stated in this application is true and correct and a complete statement of my financial condition. I understand that this application will be kept whether or not it is approved. Highlands Financial, Inc. is authorized to share this application with other potential lenders. HFI and any potential or subsequent creditor are authorized to check my credit and my employment history to answer questions about your credit experience with me and to disclose credit information to each other.
This field is hidden when viewing the form
Loan Application Terms
- I have read the above loan application terms and agree and accept them.
Click to view the complete Highlands Financial loan application terms.
Loan Application Terms*
I/We certify that the above information stated in this credit application is true and correct to the best of my/our knowledge. By submitting this credit application, I/We authorize Highlands Financial and any other potential lender to do a credit inquiry, verify employment and answer any questions in consideration for an extension of credit. Click to view the complete Highlands Financial loan application terms.
- I agree and accept these loan application terms.
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Kingstar

Credit Application

Co-Applicant Information

Dealer and Collateral Information

Terms and Conditions

Terms and Conditions