Contoso, Ltd.

Credit Application
Applicant Information
Name:
Date of birth:	SSN:	Phone:
Current address:
City:	State:	ZIP Code:
Own	Rent	(Please circle)	Monthly payment or rent:	How long?
Previous address:
City:	State:	ZIP Code:
Owned	Rented	(Please circle)	Monthly payment or rent:	How long?
Employment Information
Current employer:
Employer address:	How long?
Phone:	E-mail:	Fax:
City:	State:	ZIP Code:
Position:	Hourly	Salary	(Please circle)	Annual income:
Previous employer:
Address:	How long?
Phone:	E-mail:	Fax:
City:	State:	ZIP Code:
Position:	Hourly	Salary	(Please circle)	Annual income:
Name of a relative not residing with you:
Address:	Phone:
City:	State:	ZIP Code:
Relationship:
Co-Applicant Information, if for a joint account
Name:
Date of birth:	SSN:	Phone:
Current address:
City:	State:	ZIP Code:
Own	Rent	(Please circle)	Monthly payment or rent:	How long?
Previous address:
City:	State:	ZIP Code:
Owned	Rented	(Please circle)	Monthly payment or rent:	How long?
Employment Information
Current employer:
Employer address:	How long?
Phone:	E-mail:	Fax:
City:	State:	ZIP Code:
Position:	Hourly	Salary	(Please circle)	Annual income:
Previous employer:
Address:
Phone:	E-mail:	Fax:
City:	State:	ZIP Code:
Position:	Hourly	Salary	(Please circle)	Annual income:
Application Information Continued
Name of a relative not residing with you:
Address:	Phone:
City:	State:	ZIP Code:
Relationship:
Credit Cards
Name	Account no.	Current balance	Monthly payment
Mortgage Company
Account no.:	Address:
Auto Loans
Auto loans	Account no.	Balance	Monthly payment
Other Loans, Debts, or Obligations
Description	Account no.	Amount
Other Assets or Sources of Income
Description	Amount per month or value
I authorize Contoso, Ltd. to verify the information provided on this form as to my credit and employment history.
Signature of applicant	Date
Signature of co-applicant, if for joint account	Date

1

2001-08-28

Microsoft Corporation