Credit Application for The RV Factory

Present Address *

Previous Address

Address *

Present Address

Previous Address

Address

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<br /> 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