| 1.
Personal Information |
| Name: |
example: (John A Doe) |
| S.S.N.: |
--
example: (33-22-1111) |
| Dependants: |
example: (3) |
| Age: |
example: (42) |
| Date of Birth: |
/
/ 19
example:(03/05/1963) |
| 2.
Current Address |
| Street Address: |
example: (46293 Belmont-Cent.Rd.) |
| City: |
example: (Belmont) |
| State: |
example: (OH) |
| Postal Code: |
example: (43718) |
| Length At Current Address:
|
example:(10 Years) |
| County: |
example: (Belmont) |
| Phone Number: |
example:(800-845-2999) |
3.
Previous Address
(Skip to "4. Living Status" if you have
been at your current address longer than 3 years.) |
| Street Address: |
example: (46293 Belmont-Cent.Rd.) |
| City: |
example: (Belmont) |
| State: |
example: (OH) |
| Postal Code: |
example: (43718) |
| Length At Previous Address:
|
example:(10 Years) |
| 4.
Living Status |
| Marital Status: |
|
| Residence: |
|
| Purchased Price: |
example: ($120,000) |
| Balance Owed: |
example: ($75,000) |
| Monthly Payment: |
example:($1,200) |
| Leinholder/Landlord: |
example: (Bank of America) |
| Market Value: |
example:($175,000) |
| 5.
Current Employment |
| Employer: |
example: (Yonak's RV Sales, Inc.) |
| Occupation: |
example: (General Manager) |
| Employer Phone Number: |
example: (800-845-2999) |
| Gross Monthly Salary: |
example: ($5,000) |
| Length of Employment |
example: (5 Years) |
6.
Previous Employment
(Skip to "7. Other Income" if you have
been at your current employer longer than 3 years.) |
| Employer: |
example: (Yonak's RV Sales, Inc.) |
| Occupation: |
example: (General Manager) |
| Employer Phone Number: |
example: (800-845-2999) |
| Gross Monthly Salary: |
example:
($5,000) |
| Length of Employment |
example: (5 Years) |
7.
Other Income
(Please do not include spouse income in
this field. If you would like to include this amount, use
the joint application further down) |
| Other, Monthly: |
example:($1,000) |
| Source of Income: |
example:(Rental Property) |
| 8.
Bank/Credit Union Reference |
| Bank Name: |
example: (Bank of America) |
| Account Type: |
|
| Credit Card: |
|
| 9.
Nearest Relative |
| Nearest
Relative: |
example: (Bank of America) |
| Relative's Address: |
example: (Belmont, OH) |
| Relative's Phone
Number |
example:(800-845-2999) |
|
IF NO OTHER APPLICANT SKIP TO #19 |
|
10. Personal Information (Secondary Applicant) |
| Name: |
example: (John A Doe) |
| S.S.N.: |
--
example: (33-22-1111) |
| Dependants: |
example: (3) |
| Age: |
example: (42) |
| Date of Birth: |
/
/
19
example:(03/05/1963) |
|
11. Current Address (Secondary Applicant) |
| Street
Address: |
example: (46293
Belmont-Cent.Rd.) |
| City: |
example: (Belmont) |
| State: |
example: (OH) |
| Postal Code: |
example: (43718) |
| Length At Current
Address: |
example:(10 Years) |
| County: |
example: (Belmont) |
| Phone Number:
|
example:(800-845-2999) |
12. Previous Address (Secondary Applicant)
(Skip to "13. Living Status
(Secondary Applicant)" if you have been at your
current address longer than 3 years.) |
| Street
Address: |
example: (46293 Belmont-Cent.Rd) |
| City: |
example: (Belmont) |
| State: |
example: (OH) |
| Postal Code: |
example: (43718) |
| Length At Previous
Address: |
example:(10 Years) |
|
13. Living Status (Secondary Applicant) |
| Marital
Status: |
|
| Residence: |
|
| Purchased Price: |
example: ($120,000) |
| Balance Owed: |
example: ($75,000) |
| Monthly Payment: |
example:($1,200) |
| Leinholder/Landlord: |
example: (Bank of America) |
| Market Value: |
example:($175,000) |
|
14. Current Employment (Secondary Applicant) |
|
Employer: |
example:(Yonak's RV Sales, Inc.) |
| Occupation: |
example:(General Manager) |
| Employer Phone
Number: |
example: (800-845-2999) |
| Gross Monthly
Salary: |
example: ($5,000) |
| Length of
Employment |
example: (5 Years) |
15. Previous Employment (Secondary Applicant)
(Skip to "16. Other Income
(Secondary Applicant)" if you have been at your
current employer longer than 3 years.) |
|
Employer: |
example: (Yonak's RV Sales, Inc.) |
| Occupation: |
example: (General Manager) |
| Employer Phone
Number: |
example: (800-845-2999) |
| Gross Monthly
Salary: |
example: ($5,000) |
| Length of
Employment |
example: (5 Years) |
16. Other Income (Secondary Applicant)
(Please do not include spouse
income in this field.) |
| Other,
Monthly: |
example:($1,000) |
| Source of Income: |
example:(Rental Property) |
|
17. Bank/Credit Union Reference (Secondary
Applicant) |
| Bank
Name: |
example:(Bank of America) |
| Account Type: |
|
| Credit
Card: |
|
|
18. Nearest Relative (Secondary Applicant) |
| Nearest
Relative: |
example:(Bank of America) |
| Relative's Address: |
example:(Belmont, OH) |
|
Relative's Phone Number |
example:(800-845-2999) |
19. RV Information
(Please enter the details of the new
model you would like to finance.) |
| Year: |
example:(2007) |
| Make: |
example:(Dutchmen) |
| Model: |
example:(26L-DSL) |
|
20. Email Information |
| Email: |
|
|
21. Send Application |
|
You represent that all information in the application is
accurate and complete, that you are competent to enter
into contracts, that no bankruptcy proceeding is in
progress or anticipated which involves you and that no
additional applications for credit with another lender
have recently been submitted by you prior to our
consideration of this application. We are not obligated
to grant you credit and we may retain the application
whether or not credit is granted. You agree to pay all
fees in connection with this application and your loan.
You authorize us to obtain information from others
concerning your credit standing and other relevant
information impacting on this application and to provide
to others information about our experience with you.
|