Finance

Applicant Information

Name

First

Last

Date Of Birth *

Social Security Number *

Email *

Cell Phone

Home Phone

Citizenship / Immigration Status *

Residential Info

Address (No P.O. Boxes Allowed) *

Address Line 1

Address Line 2

City

State

Zip Code

County *

Residential Status *

Time at Residence *

Monthly Housing Payment *

Check if Different Mailing Address

Employment and Income

Employer Name

Length of employment *

Work Phone *

Job Title / Occupation

Monthly Gross Income *

Other Income

Other Income Source

Previous Employer *

Length of Service with Previous Employer *

Previous Employer Phone *

Nearest Relatives Name *

First

Last

Nearest Relatives Phone *

Jet Ski Info

Which Krash Model are you Buying? *

Financial Information

Requested Term in Months *

Down Payment *

By clicking SUBMIT, you agree to the following statements: You have informed the applicant(s) that this Application for Credit ("Application") is to First Community Bank, Batesville, Arkansas. You have reviewed this Application with the applicant(s), and everything stated in it is true. You have obtained the consent of the applicant(s) for First Community Bank to check his/her credit, employment history, or any other information, and to report such information, and its credit experience with him/her, to others. Applicant(s) is at least 18 years of age. You have obtained certification that the property purchased pursuant to this application is for the applicant's personal and/or business use; the applicant(s) is fully responsible for making all payments for such property; that such property will be in the applicant's possession or under his/her control until the amount financed and all finance charges have been paid in full; and that the applicant(s) is not purchasing any property financed through First Community Bank. Applicant(s) understands that he/she must update credit information at First Community Bank's request if his/her financial condition changes.

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Phone

Finance Calculator

PWC Model
Price of PWC
Finance Rate	%
Less Deposit
Less Trade In Allowance
Monthly payment payment protection, presuming a typical APR of 5.99%
12 months	/month
24 months	/month
36 months	/month
48 months	/month
60 months	/month
Total cost of the credit:
Check/uncheck this box to view figures with/without Payment Protection