NukeSilo Community

MAXCARE FINANCIAL LOAN APPLICATION
DATE: 3/13/09 REFERRED BY: Moe O' Donoghue
NAME: Mister McCannon
SOCIAL SECURITY #:
CO-BORROWER’S NAME: N/A
CO-BORROWER’S SOCIAL SECURITY # N/A
BORROWER’S ADDRESS: 1337 Nuke City Dr.
DAYTIME PHONE: N/A EVENING PHONE: N/A
CELLULAR PHONE: 222-232
BEST TIME TO CALL: Anytime
Borrower’s annual income (before taxes): 15/hour
Co-borrower’s annual income (if applicable): N/A
Total monthly credit card/loan payments: N/A
Are you borrowing to: □ (whatever you are buying): Police Car
How much money are you asking to borrow: 50,000
Notes, if needed:

Signature(s): Mister 'Tank' McCannon

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Maxlikes Murcock: (( Small cock works. ))
Maxlikes Murcock: (( For me anyway ))

Gordan Fisherman M.D.: Take your pants off.