Financing - Blue Star Trailer Supply

We pride ourselves on our ability to quickly and easily provide financing solutions for our customers. We are experts in helping credit-challenged individuals obtain affordable financing for their new vehicles.
Application Information
Individual or Joint Application - (co applicants must each fill out their own application) *

Individual Joint
If you are applying as a co-applicant for someone who has already submitted a credit form, please indicate their name.

First Name Last Name
Product Inquiry *
(please use stock number if available)
Price of Product
Identification
Full Name *

First Name Last Name
Date of Birth *

Month Day Year
SSN: *
Marital Status *
Are you a U.S. Citizen *
Drivers License No: *
D.L. Expiration Date

Month Day Year
Contact Information
Daytime Phone
Evening Phone
Mobile Phone
Email *
How would you like to be contacted
Address Information
Physical Address (no P.O. boxes)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Years at current residence
Months at current residence
Do you rent or own
Monthly Rent/Mtg: *
Landlord or mortgage company
Landlord or mortgage company phone
Mailing Address (if different from physical)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
If less than two years please complete previous history information below.
Years at previous residence
Months at previous residence
Employment History
Current employer (Actual Employer): *
Gross monthly income (before taxes): *
Position/Occupation: *
Phone
Years at your job
Months at job
If less than two years at current job please complete previous employer history:
Phone
Years at your job
Months at job
Questionnaire
Other monthly income:
Source of other monthly income:
Have you ever filed for bankrupty?
If yes, when?
Have you ever had a car or other merchandise repossessed?
If yes, when?
Personal References
Full Name

First Name Last Name
Relationship
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Full Name

First Name Last Name
Relationship
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Additional Information
Sales Consultant's Name
Delivery Method

Pickup at Dealership Delivery to Residence Deliver Elsewhere
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Credit Report Authorization
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.
Initials *
Signature *

Clear
Should be Empty:

Application Information

Identification

Contact Information

Address Information

Employment History

Questionnaire

Personal References

Additional Information

Credit Report Authorization