New Loan Application - Sheffield Financial Loan Application Type* Individual Applicant Joint Applicant LOAN FOR: Manufacturer, Product Type, and Model* Is Loan in Personal or Business Name?* Personal Business Business Name Business Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary ApplicantSocial Security Number* Name* First Last Street Address (not PO Box)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Birth* MM slash DD slash YYYY We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy.Residential Status* Own/Buying Renting Monthly Rent/Mortgage Payment* Years at Residence* Email* Home/Cell Phone*Work Phone*Employer Name* Employer City* Years at Employment* Monthly Gross* Nearest Relative's Name* Nearest Relative's Address* City State / Province / Region ZIP / Postal Code Nearest Relative's Phone*Second ApplicantSecond Applicant Social Security Number* Second Applicant Name* First Last Second Applicant Street Address (not PO Box)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Second Applicant Date of Birth* MM slash DD slash YYYY We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy.Second Applicant Years at Residence* Second Applicant Email Second Applicant Home/Cell Phone*Second Applicant Work Phone*Second Applicant Employer Name* Second Applicant Employer City* Second Applicant Years at Employment* Second Applicant Monthly Gross* Second Applicant Nearest Relative's Name* Second Applicant Nearest Relative's Address* City State / Province / Region ZIP / Postal Code Second Applicant Nearest Relative's Phone*SignatureE-Sign Act Notice Of Delivery Of DisclosuresFederal regulation requires financial institutions to inform loan applicants that certain disclosures related to this on-line application will be delivered electronically (e.g., screen display). Should the application be denied, Notice of Adverse Action will be sent to the applicant(s) via U.S. Postal Service. Should the application be approved and applicant(s) enter into a loan with us through the dealership of their choice, copies of loan-related disclosures will be provided to them by the dealership where the transaction is completed. Applicants must agree to this notice for the application process to continue.* I have read and agree to the terms General Application DisclosureThis Application for Credit ("Application") is to Sheffield Financial, A Division of Branch Banking and Trust Company (“Sheffield”). I have read this Application and everything stated in it is true. I authorize Sheffield to check my credit, employment history, or any other information, and to report such information, and its credit experience with me, to others. I am at least 18 years of age. 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 this obligation. I hereby certify that the property purchased pursuant to this application is for my personal and/or business use; that I am fully responsible for making all payments for such property; that such property will be in my possession or under my control until the amount financed and all finance charges have been paid in full; and that I am not purchasing any property financed through Sheffield for the benefit or use of another without the prior written approval of Sheffield. IMPORTANT INFORMATION ABOUT ACCOUNT OPENING PROCEDURES: Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who requests to open an account prior to account opening. WHAT THIS MEANS TO YOU: When you apply for credit, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. Failure to provide the required information may result in denial of your request to open an account.* I have read and agree to the terms CAPTCHA