NukeSilo Community

DATE:_______april 9 2009_________________ REFERRED BY: __carl smith______________________
NAME: _________carl smith__________________________________________________________
SOCIAL SECURITY #:___186457____________________
CO-BORROWER’S NAME:_____(none)_________________________________________________
(If Applicable)
CO-BORROWER’S SOCIAL SECURITY #____(none)______________________________________
BORROWER’S ADDRESS: _________(none)____________________________________________
DAYTIME PHONE:____124456___________________EVENING PHONE:_____124456________________
CELLULAR PHONE: ____________124456__________
BEST TIME TO CALL:___________when im in town______________________________________________
Borrower’s annual income (before taxes): ________________
Co-borrower’s annual income (if applicable): _____(none)____________
Total monthly credit card/loan payments: __$100_______________
(Minimum required payments please. On loans other than credit cards, eliminate payment if 8 or less payments remaining.)
Are you borrowing to: □ (whatever you are buying):_____i am useing it to help with some financhal needs_____
How much money are you asking to borrow:_____4k______
___________________________
Notes, if needed:________________________________________________________________
______________________________________________________________________________
Signature(s):___Carl Smith_____________

_________________
name kman smith
current job pizzaboy
stat: dead

Carl Smith
job: runing kmans pizza in kmans honer
stat: dead
Jon smith
missing
saji smith
stat: dead
Jake Smith
status:alive