Making Loans Easy & Affordable!!

[Pages:1]Making Loans Easy & Affordable!!

21 Burke Road, Spanish Town, St. Catherine, 749-0921/361-9328 Shop 91 Portmore Pines Plaza, 998-2738/589-3840

Shop 19 Island Plaza, 72 King Street, Linstead, 985-7450/461-9045 E-mail: torpedomicroloanfinancing@

Loan Application Form

A. CUSTOMER INFORMATION LAST NAME_________________FIRST ________________MIDDLE_________________ ADDRESS________________________________ TEL CONTACT___________________ __________________________________________________________________ _______________________________TRN_________________ NIS___________ MAILING ADDRESS________________________________________________________ _______________________________________________________ NATIONALITY________________ I.D. #_____________ TYPE USED________________ DATE OF BIRTH___________________

B. CREDIT AND BUSINESS INFORMATION EMPLOYMENT STATUS_________________________________________________ EMPLOYER'S NAME________________________________ TEL NO.____________ EMPLOYER'S ADDRESS_________________________________________________ IF SELF EMPLOYED, BUSINESS LOCATION________________________________ TYPE OF BUSINESS_____________________________________________________ AMOUNT REQUIRED____________________________________________________

C. REFERENCE INFORMATION NAME OF CONTACT REFERENCES (REPUTABLE PERSONS) 1.Name ________________________________________ tel no.________________ Address____________________________________________________________ 2. Name ________________________________________ tel no.________________ Address ____________________________________________________________ 3. Name ________________________________________ tel no.________________ Address____________________________________________________________ 4. Name ________________________________________ tel no.________________ Address____________________________________________________________

D. DECLARATION I declare that the above information given is a true and accurate one and also agree that I have read, understood and hereby agree to be bound by the relevant terms and agreement conditions laid down by TORPEDO INVESTMENTS LIMITED if provided with the services applied for above. I also understand and agree that delivery of any services applied for is subject to my agreement with TORPEDO INVESTMENTS LIMITED until my obligation ends. REFERENCE DOCUMENTS COPIED BY TORPEDO INVESTMENTS SHALL REMAIN AS PART OF OUR RECORD KEEPING FOR FUTURE REFERENCE.

E. APPLICATION INFORMATION An application fee of $1,000 is required for all applicants for loan processing. APPLICATION FEE IS NON-REFUNDABLE

F. SIGNATURE INFORMATION NAME______________________________SIGNATURE_______________DATE_______ WITNESS__________________________________________________________________ WITNESS__________________________________________________________________

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