SCC Application

IMPORTANT: Be sure to give a valid e-mail address and/or phone number otherwise we will not be able to contact
you. Please fill out the application below so that SCC can properly access your needs. No information given below
will be transfered to a third party or use to do any background checks on you. This information is collected so that
we can better serve you.

Applicatant: *
Date of Birth (mm/dd/yyyy): *
E-mail Address: *
Phone Number:
Marital Status: *MarriedSingle
Spouse Name (if they will be Co-applicants):
Number of Dependents:
Present Address - Street: *
Apt., Suite, Etc.:
City: *
State & Zip Code: *
Current Living Status: *
Employment Status: *
Job Title / Position:
Name of Employer:
Monthly Income - Total: *
Credit Card Debt - Total: *
Monthly Credit Card Payments: *
Rent or Mortgage Payments: *
Other Debt:
How Much Can You Put Down On A Purchase: *
Credit Status: *Little HistoryBadAverageGoodExcellent
Land: *Need To Buy LandI Own Land
Where Do You Want To Live: *Metro AreaInner CitySuburbOther
Would You Consider Living Within City Limits: *
What Type Of Home Do You Want: *
Number Of Bedrooms: *
Number Of Bathrooms: *
Number of 1/2 Baths: *
Is A Yard Necessary: *
Is A Garage Necessary: *
How Many Cars In Garage: