Form

Dealership Name: *

Location *

Sales Person *

Full Name *

First Name Middle Name Last Name

SS Number *

Birth Date *

Month Day Year

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status *

Phone Number *

- Area Code Phone Number

Cell Phone *

- Area Code Phone Number

Work Phone *

- Area Code Phone Number

Filed Bankruptcy *

E-mail

Current Employer (if retired, where from?) *

Title *

Years There *

Monthly Gross Salary *

Previous Employer (if less than 3 years)

Title

Years There

Nearest LIving Relative with address (not living with) *

Relationship *

Home Status *

Years There *

Monthly Payment *

Mortgage/Landlord *

*Other Source of Income

Amount

*ALIMONY, CHILD SUPPORT OR MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT WISH TO HAVE IT CONSIDERED AS BASIS FOR REPAYING THIS OBLIGATION

I represent that all information contained in this application for credit is true, complete and correct. I have listed all of my debts on this application and understand that you will rely on the truth of the foregoing statements in granting credit to me. I authorize you in determining my eligibility for credit, renewal of credit, and future credit extensions, to verify employment, income and all other information I have provided, and obtain information about me from credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. I also authorize Epic Finance LLC to furnish to other persons, upon request, information concerning my credit and transactions or experiences with the bank. We may also ask to see your driver’s license or other identifying documents.

Final decision regarding application is based on full lender review and approval

TERMS AND CONDITIONS *

I AGREE I DISAGREE

Full Name

First Name Middle Name Last Name

SS Number

Birth Date

Month Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Filed Bankruptcy

Phone Number

- Area Code Phone Number

Cell Phone

- Area Code Phone Number

Work Phone

- Area Code Phone Number

Marital Status

E-mail

Current Employer (if retired, where from?)

Title

Years There

Monthly Gross Salary

Previous Employer (if less than 3 years)

Title

Years There

Nearest LIving Relative with address (not living with)

Relationship

Home Status

Years There

Monthly Payment

Mortgage/Landlord

*Other Source of Income

Amount

*ALIMONY, CHILD SUPPORT OR MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT WISH TO HAVE IT CONSIDERED AS BASIS FOR REPAYING THIS OBLIGATION

I represent that all information contained in this application for credit is true, complete and correct. I have listed all of my debts on this application and understand that you will rely on the truth of the foregoing statements in granting credit to me. I authorize you in determining my eligibility for credit, renewal of credit, and future credit extensions, to verify employment, income and all other information I have provided, and obtain information about me from credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. I also authorize Epic Finance LLC to furnish to other persons, upon request, information concerning my credit and transactions or experiences with the bank. We may also ask to see your driver’s license or other identifying documents.

Final decision regarding application is based on full lender review and approval

TERMS AND CONDITIONS

I AGREE I DISAGREE

New/Used *

Boat/RV Year *

Boat/Rv Make *

Boat/RV Model *

New/Used

Motor Year

Motor Make

Motor Model

New/Used

Trailer Year

Trailer Make

Trailer Model

Trade-In Information

Payoff on Trade To

Approximate Payoff Amount

E-mail

Consumer Credit Application

Applicant Information

Co-Applicant Information

Vehicle Information