Ford Motor Credit Company Internet Application

PRIMARY APPLICANT

Please print the following application by selecting your browser's print button, or by selecting the file menu's print command.

State of Residence: CALIFORNIA

Applying for Credit as: PRIMARY APPLICANT

If Joint Applicant, Relationship: _______________

Last Name: GRANDE________
First Name: STEPHEN__ Middle Initial: F

Number of Dependents: __

Date of Birth (mm/dd/yyyy): 08 / 07 / 1951 Age: 47

Address (Number and Street): 781 S STILLWATER LANE____
City: ANAHEIM_______________________ State: CA Zip: 92807 - ____

Home Phone Number: ( 714 ) 993 - 3308

Residence Info: OWN HOME OUTRIGHT
Time at Res.?: Yrs: 12 Mos: 2

Name of Landlord or Mortgage Holder: CHASE MANHATTAN MORTGAGE CORP_
Address of Landlord or Mortgage Holder: PO BOX 78920_____________
City: PHOENIX__________________ State: AZ Zip: 85062 - 8920

Monthly Rent or Mortgage Payment: $3127__

Previous Address (Number and Street): _________________________
City: ____________________ State: __ Zip: _____ - ____

Time at Previous Residence?: Years: __ Mos: __

Level of Education:

Employer Name: MIDCOM CORPORATION______________
Employer Address (Number and Street): 4175 E. LA PALMA AVE #220
City: ANAHEIM___ State: CA Zip: 92807 - ____

Occupation: EXECUTIVE___________
Time on Job?: Years: 19 Mos: 2
Work Phone: ( 714 ) 579 - 3000

Gross Salary: $9500__
Period: MONTHLY

Social Security/Social Insurance Number: 031 - 40 - 6858

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.

Source of Other Income: ______________________________
Other Yearly Income: $50000_
Period: YEARLY

Previous Employer Name: ________________________________
Address (Number and Street): ______________________________
City: _________________________ State: __ Zip: _____ - ____

Time on Job: Years: __ Mos: __

Driver's License: C0104006______________________
Bank Name: CITY NATIONAL BANK_____
Bank Info: CHECKING AND SAVINGS

Have You Ever Filed for Bankruptcy?: NO_
If Yes, When?: Month: __ Year: __

Is Applicant Obligated to Make
Support or Separate
Maintenance Payments?: ___

If Yes, Amount to Be Paid per Month is: $______

Personal Reference #1 - Name and Address:
ALBERTA GRANDE______________________________________________
Phone Number: ( 714 ) 282 - 9041 Relationship: MOTHER_________

Personal Reference #2 - Name and Address:
RONALD CARPENTER____________________________________________
Phone Number: ( 408 ) 737 - 8922 Relationship: FRIEND_________

E-Mail Address: STEVE@TRAINWEB.COM________________________________

CALIFORNIA RESIDENT (FC 7414-04/I DEC 97)
Applicant, if married, may apply for a separate account.

************************************************************************** NEW HAMPSHIRE RESIDENT (FC 7141-28/I DEC 97)
I acknowledge receipt of a true and completely filled in copy of this credit application form at the time of signing.

************************************************************************** NEW YORK RESIDENT (FC 7141-31/I DEC 97)
A Consumer Report may be requested in connection with this application for credit or and future update, renewel, or extension of such credit. Upon request, you will be informed whether or not a consumer report was requested. If a report was requested, you will be informed of the name and address of the consumer agency that furnished the report.

************************************************************************** TENNESSEE RESIDENT (FC 7141-41/I DEC 97)
You must maintain insurance during the term of the contract. You must give the Creditor evidence of this insurance. The amount and type of insurance must be acceptable to the Creditor. YOU MAY CHOOSE THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED.

**************************************************************************

For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant authorizes you to check my credit and employment history and to provide and/or obtain information about credit experience with me.

Signature: _____________________________ Date: _________

Dealer Name: MCCOY & MILLS FORD
Dealer Fax: (714)992-5447	Selling Price: 19665
Dealer Phone: (714)526-5501	Total Down Payment: 0
Dealer Code: ****	Customer Entered Rate:
Loan Type: LOAN	Special APR%⁽¹⁾: 2.9 (Expires 01/14/1999)
Make: FORD	-or-
Model Year: 1999	Mfr Rebate: 500 (Expires 01/14/1999)
Model: TAURUS	Net Trade-In: 0
Body Style: SE 4-DOOR SEDAN	Estimated Price: 19665
Trade-In Make: GMC	Term: 48
Trade-In Model Year: 1996	Payment: 434
Trade-In Model: CAVALIER

⁽¹⁾ SPECIAL APR's - NOT ALL BUYERS WILL QUALIFY FOR LOWEST APR.
See Dealer to determine if you qualify. Ford Credit APR for qualified buyers varies by creditworthiness of a buyer as determined by Ford Credit. Dealer participation may affect savings. Residency restrictions apply.

Thank you for completing the Ford Credit Internet Application.

FC 7141-G/I1 DEC 97
Wed Nov 11 00:58:01 EST 1998