Credit Application - Smith's RV Centre

Credit Application - Smith's RV Centre
APPLICANT INFORMATION
Legal Name *

First NameLast Name
Middle Name *
Social Insurance Number*
Birthday Date*

MonthDayYear
Marital Status*
Price Range*
Unit of Interest*
CO-APPLICANT INFORMATION
Name

First NameLast Name
Middle Name
Social Insurance Number
Birthday Date

MonthDayYear
RESIDENTIAL DETAILS
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you own or rent?*
Length of Residence*
Previous Address (if less than 2 years)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your monthly mortgage or rent payment?*
If you own, where is your mortgage held?
If you own, what is the current market value of your home?
If you own, what is the balance of your mortgage?
EMPLOYMENT INFORMATION (APPLICANT)
Employer*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation*
Length of Employment*
Annual Salary*
Previous Employer (if less than 2 years)
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Employer - Occupation
Previous Employer - Length of Employment
EMPLOYMENT INFORMATION (CO-APPLICANT)
Employer
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
Length of Employment
Annual Salary
Previous Employer (if less than 2 years)
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Employer - Occupation
Previous Employer - Length of Employment
ADDITIONAL INCOME INFORMATION
Please complete this section if you have additional income you would like to be considered for this loan. Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Amount
Frequency
Source
CONTACT INFORMATION
By completing the e-mail address field, you authorize us to communicate with you using electronic mail.
E-mail*

Confirmation Email
Home Phone

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Contact Preference*
Contact Time Preference*
Should be Empty: