EXTREME DIGITAL PRODUCTS, INC.
SPECIAL IN HOUSE FINANCE PROGRAM
Credit Application

Please Note: This is an EXTREME DIGITAL PRODUCTS, INC. Credit Application.
Please complete the electronic application.

Name:
Street:
City:
State:
Zip:
Years There:
Home Phone:
Date of Birth:
Driver's License Number:
Social Security Number:
Employer's Name:
Employer's Address:
Position:
Employer's Phone:
Wage or Salary:
Per Hour: $
Monthly Salary: $
Average hours worked per week:
Other Income:
Previous Employer:
How Long?
Nearest Relative Not Living With You:
Address:
Phone:
Financial Status:
Income: $
Less Expenses: $
= Disposable Income: $
Amount Requested:
Number of Months:
Monthly Payment Desired:
References:
List bank, major companies or stores where you have had credit in the past:
Bank (checking/savings):
Stores:
Major Credit Cards:

        Everything I have stated in this application is correct to the best of my knowledge. I understand that Extreme Digital Products, Inc. will retain this application whether or not it is approved. I authorize Extreme Digital Products, Inc. to check my credit and employment history and to answer future questions about its credit experience(s) with me.

_________________________
Signature
This is not a secure document that can be transmitted electronically,
after you have completed the document print it and mail to.

Extreme Digital Products, Inc.
6130 W. Flamingo Rd., #455    Las Vegas, NV 89103
Tel: 702.365.6847    or     702.383.6483
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