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: (89765 JOHN RD..) |
City: |
example: (dallas) |
State: |
example: (OH) |
Postal Code: |
example: (98765) |
Length At Current Address: |
example:(10 Years) |
County: |
example: (blue) |
Phone Number: |
example:(800-555-5555) |
3.
Previous Address
(Skip to "4. Living Status" if you have been at
your current address longer than 3 years.) |
Street Address: |
example: (12345 John RD.) |
City: |
example: (Dallas) |
State: |
example: (OH) |
Postal Code: |
example: (98765) |
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: (Wal-Mart.) |
Occupation: |
example: (General Manager) |
Employer Phone Number: |
example: (800-555-5555) |
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: (Wal-Mart) |
Occupation: |
example: (General Manager) |
Employer Phone Number: |
example: (800-555-5555) |
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: (Nashville, TN) |
Relative's Phone Number |
example:(800-555-5555) |
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.
|