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Credit Application


* Required Field  
Sales Associate
Are you working with a Sales Associate? Yes
No
If YES, please select Sales Associate Mike LaSalle
Dan Ali
David Hineline
Eddie Eivich
 
Purchase Information
I am interested in * Motorhome
Trailer/5th Wheel
Pop-up Camper
Horse Trailer
Manufacturer *
Model *
I am in the market * Immediately
In the next six months
I am interested in the model year *
Payment Method you prefer * Cash
Interested in Financing
Interested in Leasing
Using Credit Union
Payment Term you prefer * 5
10
15
20
Down Payment Amount *
When would you like to be contacted? *
 
Current RV or Horse Trailer Information
Do you currently own an RV or Horse Trailer? * Yes
No
Year
Make
Model
Miles
Condition Excellent
Above Average
Average
Below Average
Lienholder of Trade
Loan Balance on Trade: (in U.S. Dollars)
Monthly Payment on Trade: (in U.S. Dollars)
 
Individual Applicant
First Name *
Middle Initial
Last Name *
Email *
Social Security Number *
Date of Birth *
Address *
City *
State *
Zip *
County / Parish *
Phone *
(Please Include Area Code)
Time at Address (Yrs. / Mos.) *
Previous Address  *
(if at current address less than two years)
City *
State *
Zip *
County / Parish *
Housing * Own
Rent
Family
Other
Mortgage or Rent Payment *
Drivers License Number *
State *
Employment Status * Employed
Unemployed
Retired
Military
Other
Self Employed
Employer *
Business Phone *
Time employed (Yrs. / Mos.) *
Occupation *
Monthly Salary *
Previous Employer *
(if at current employer less than two years)
Business Phone *
Time employed (Yrs. / Mos.) *
Occupation *
Monthly Salary *
Other Income *
(Alimony, Child Support, or Separate
Maintenance Income need not be revealed if
you do not wish to have it considered as a
Basis for repaying this obligation)
Source of Other Income *
 
Joint Applicant or Other Party
First Name
Middle Initial
Last Name
Social Security Number
Date of Birth
Address
City
State
Zip
County / Parish
Phone
(Please Include Area Code)
Time at Address (Yrs. / Mos.)
Previous Address
(if at current address less than two years)
City
State
Zip
County / Parish
Housing: Own
Rent
Family
Other
Mortgage or Rent Payment
Drivers License Number
State
Employment Status Employed
Unemployed
Retired
Military
Other
Self Employed
Employer
Business Phone
Time employed (Yrs. / Mos.)
Occupation
Monthly Salary
Previous Employer
(if at current employer less than two years)
Business Phone
Time Employed (Yrs. / Mos.)
Occupation
Monthly Salary
Other Income
(Alimony, Child Support, or Separate
Maintenance Income need not be revealed if
you do not wish to have it considered as a
Basis for repaying this obligation)
Source of Other Income
 
Authorization
* Required
By submitting this application, I/We certify that the submitted information is complete and accurate to the best of my/our knowledge. I/We understand and approve any inquires regarding my/our credit record and employment history by the financial institution(s). I/We authorize the release of information about my/our credit profile.
Yes
No