Credit Application for The RV Factory

Credit Application

PHONE: (574) 848-2729
Applicant
Full Name

First NameLast Name
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years at Address
Home Phone Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Drivers License Number
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Occupation
Supervisor
Years of Service
Salary per Month
Net or 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 NameLast Name
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years at Address
Home Phone Number

Area CodePhone Number
Birth Date

MonthDayYear
Drivers License Number
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years at Previous Address
Present Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Occupation
Supervisor
Years of Service
Salary per Month
Click to edit
Other Income
Source
Have you ever filed for bankruptcy, if yes when?
Housing
Own or Rent?
Monthly Payment
Lienholder/Landlord
Collateral
New or Used?
Year
Make
Model
Length
Body Type
VIN
Trade-in
Year
Make
Model
Odometer
Length
Body Type
VIN
Lienholder
Phone Number

Area CodePhone 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
Date

MonthDayYear
Electronic Signature of Co-Applicant

Electronic Signature of Co-Applicant
Date

MonthDayYear
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