Finance Application Form – Mike Smith Aviation Mike Smith Aviation International 1 - Personal Info 2 - Optional Co-Borrower 3 - Program Info 4 - Optional Info & Submit Url Flight School Name Do you have a Student Pilot Certificate? * Yes No Flight School City Flight School State Flight School State Select School State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Please tell us about yourself First Name MI Last Name Date of Birth Social Security Number Address City State State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Home Phone Number Own Or Rent Own Rent Years At Current Address Current Monthly Payment Cell Phone Number Email Address Current Employer Current Employer Phone Number Part-Time or Full-Time Current Emp Part-Time Full-Time Current Employer Address City Current Employer State Current Employer State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Current Employer Current Position Years At Current Employer Annual Salary Current Your Credit and Personal References Credit Reference Account Number Balance Owing Personal Reference Personal Reference Address Personal Reference City Personal Reference State State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Personal Reference Zip Code Reference Phone Nearest Relative Not Living With You Relationship to You Nearest Relative Address Nearest Relative City Nearest Relative State State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Nearest Relative Zip Code Relative Phone Please see next page for optional co-borrower information. Optional: Co-Borrower or Guarantor Information Co-Borrower First Name Co-Borrower MI Co-Borrower Last Name Co-Borrower Date of Birth Co-Borrower Social Security Number Relationship to Student Co-Borrower Address Co-Borrower City Co-Borrower State State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Co-Borrower Zip Code Co-Borrower Home Phone Co-Borrower Own Or Rent Own Rent Co-Borrower Years There Co-Borrower Monthy Payments Co-Borrower Cell Phone Co-Borrower Email Address Co-Borrower Employer Co-Borrower Employer Phone Part-Time or Full-Time Co-Borrower Emp Part-Time Full-Time Co-Borrower Employer Address Co-Borrower Employer City Co-Borrower Employer State State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Co-Borrower Employer Zip Code Co-Borrower Position Co-Borrower Years At Employer Co-Borrower Annual Salary Please see next page for information you would like us to consider about your flight training. Your Flight Training to be Financed Your Current Flight Experience: * None Some Anticipated Achievement Fixed-Wing or Rotor Fixed-Wing Rotor/Helicopter Both Estimated Cost Preferred Cash Down Payment: * $250 (standard) Other Please choose the training and finance package that best suits your needs: * 1 Lesson Per Week / 72 Payments 2 Lessons Per Week / 60 Payments 3 Lessons Per Week / 48 Payments 4 Lessons Per Week / 30 Payments 5 Lessons Per Week / 18 Payments Other Please see next page for optional information you would like us to consider. Optional Information About this section We want to approve your application! This section is provided in case there is anything else you would like us to consider during the review process. For example, if you think there may be negative historical information in your credit report due to financial problems you have experienced in the past, it may be helpful for us to have your comments on the cause of the past problems and how you have corrected them. Or, if you anticipate a significant salary increase in the near future, you may want to comment on the amount and certainty of the change. You may also use this space to tell us about regular income you receive other than your salary. Please note that 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 your obligation to us. Optional Information Sign I certified that all of the information I have provided on this application is correct and complete. I authorize Flight Training Finance, LLC to investigate any facts and obtain and exchange reports and information regarding this application and/or resulting account(s) with credit reporting agencies and others. Upon request I will be informed of each agency’s name and address.
