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Credit Application

Horse Trailer Financial Application


Note: All information is safely transferred through a secure transmission.

 Applicant Information

Personal Information:
   
*First name 
*Middle Name
*Last name  
(Enter Name as it appears on Driver's License)  
   
*Social Security No
*Driver License No
*Birth Date
   

Address Information:

   
*Mailing Address
*City 
*St
*Zip
 *County
   
*Physical Address, NOT PO BOX.
Application will be returned without Physical address (make necessary changes if different from Mailing Address)
*City
*St
*Zip
*County
   
*How long have you lived at this address?
   
Previous Address if less than 3 years
*City
*St
*Zip
   
*Phone
Cell Phone
Fax 
E-Mail Address
   
Financial History:
   
*No. of Dependents
*Are you a US Citizen?
*Home Ownership
If "Other" explain

*Monthly Payment
 *Have you ever declared Bankruptcy?
   
Employment Information:
   
*Current Employer
*Employer Address
*Supervisor
*Supervisor  Phone No
*Your Business Phone No
*Date Hired
*Your Job Position
*Gross Amount Paid
(What is your income before taxes are taken out each pay period?)
*Please not the pay period or income you have stated period
Additional Income
(amount of any additional income)
Source of Additional Income
   
If employed less than 3 years tell us about your previous employment  
Previous Employer
Previous Position
Previous Supervisor
Previous Supervisor Phone
   
Nearest Relative Information:
   
*Nearest Relative
(not living with you)
*Relationship
(example: mother, father, aunt, etc)
*Relative's Phone No
*Relative's Address
*City
*State:
*Zip:
   
Spouse or Co-Applicant information:
(Applicant's spouse must complete the section below if the applicant is relying on the spouse's income as a basis for repayment of the credit.)
Co-Applicant Full Name
Social Security Number
Driver License Number
Home Phone Number
Birth Date
Employer
Business Phone Number
Work Position
Gross Income
(Amount before taxes)
How often?
Date Hired
   
Double D Trailer Information:
(Concerning the Horse Trailer you wish to finance)
Model or ID#:
Down Payment: (Most finance companies require 10% down unless superb credit)
Delivery:
Cost of the Trailer you are purchasing excluding tax/delivery
Which Financing Program do you want?
Vehicle Insurance Information:
(The following information is necessary in order to complete the process upon approval)
Primary Vehicle Insurance Company
Policy Number
Agent's Name
Agent's Phone Number
   
 

Please read the following, for your information - the SEND FORM button is at the bottom of the page.

By submitting this document I/we certify that the information inserted herein is true, correct, and complete.

I/we acknowledge that I/we have this application with the intent that you should rely upon the information contained herein granting the credit requested. I/we understand that you may share information about the transaction, and (if approved) about this loan with other necessary financial entities in connection with my request. If the requested credit is granted, you may report information concerning the credit to consumer reporting agencies or to others. I/we affirm that my/our answers are complete and true and authorize you to certify or obtain any information concerning them. Upon your request, I/we further authorize any firm or individual from whom I/we may have obtained or requested credit, to furnish you with the date of that transaction. I/We also agree to provide current financial information upon request, in a form acceptable to you.

The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is Federal Trade Commission, ECOA compliance, Washington, DC 20581.


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