Credit Application for The RV Factory

Credit Application

PHONE: 574-862-3702
Applicant
Full Name *

First Name Last Name
Present Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Years at Address
Home Phone Number *

Area Code Phone Number
E-mail *
Birth Date *

Month Day Year
Drivers License Number *
Previous Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Years at Previous Address
Nearest Relative not living with you *
Relation *
Salesperson you are working with
Employment
Present Employer *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Occupation *
Supervisor *
Years of Service *
Salary per Month *
Net or Gross: *

Net Gross
Other Income
Source
Previous Employer if Less Than 3 Years
Have you ever had a judgement or lien filed against you?
Co-Applicant (if applicable) ** all fields are required **
Full Name

First Name Last Name
Present Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Years at Address
Home Phone Number

Area Code Phone Number
Birth Date

Month Day Year
Drivers License Number
Previous Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Years at Previous Address
Present Employer
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Employer Phone Number

Area Code Phone Number
Occupation
Supervisor
Years of Service
Salary per Month
Click to edit

Net Gross
Other Income
Source
Have you ever filed for bankruptcy, if yes when?
Housing
Own or Rent? *

Own Rent
Monthly Payment *
Lienholder/Landlord *
Collateral
New or Used?

New Used
Year
Make
Model
Length
Body Type
VIN
Trade-in
Year
Make
Model
Odometer
Length
Body Type
VIN
Lienholder
Phone Number

Area Code Phone Number
Balance Due
Payment Amount
Everything I have entered in this application is true to the best of my knowledge, and is
an accurate statement of my obligations and the income upon which I will rely on to pay the
credit requested. I understand that you will rely on this information in deciding whether or
not to grant or continue credit to me. I also understand that you will retain this information
whether or not my application is approved. You are authorized to check my credit
and employment history.
Electronic Signature of Applicant *

Electronic Signature of Applicant Clear
Date *

Month Day Year
Electronic Signature of Co-Applicant *

Electronic Signature of Co-Applicant Clear
Date

Month Day Year
Should be Empty:

Credit Application

Applicant

Employment

Co-Applicant (if applicable) ** all fields are required **

Housing

Collateral

Trade-in

Co-Applicant (if applicable) all fields are required