Sunbelt RV Center Incorporated

Credit Application

 Complete the form below, and we will work to qualify you for a loan on a new or used Recreational Vehicle.
Completing the credit application does not obligate you in any way.
This information will be transmitted via a secure server to protect your privacy as well as any sensitive information you may furnish here. If you are in doubt as to whether your browser will support secure transactions, this form may be printed and faxed to us at 254-939-9166.

Applicant Information

Personal
First Name:
Middle Initial:
Last Name:
Junior/Senior:
Birth Date:
Social Security Number:
Marital Status:
Address:
City:
State:
Zip:
Email Address:
Home Phone Number:
Number Of Dependents:

Residence
I Currently:
Mortgage Company/Landlord:
Mortgage Company/Landlord Phone:
Monthly Payment:
Balance Remaining:
Time At Current Residence: Years Months
Prior Address:
Prior City:
Prior State:
Prior Zip:
Time At Prior Residence: Years Months

Employment
Employer's Name:
Employer's Phone Number:
Occupation Or Position:
Annual Gross Income:
Time On Job: Years Months
Previous Employer's Name:
Previous Employer's Phone Number:
Previous Occupation Or Position:
Previous Time On Job: Years Months

Other Income
Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Other Monthly Income:
Other Monthly Income Source:

Account Information
Check All Accounts That Apply: Checking
Savings
Mastercard
Visa
American Express
Diners Club
Gas Cards

Additional Debts
Creditor Name:
Creditor City:
Creditor State:
Account Number:
Date Opened:
Balance Due:
Payment Amount:
Creditor Name:
Creditor City:
Creditor State:
Account Number:
Date Opened:
Balance Due:
Payment Amount:

Recreational Vehicle Information
Type Of Financing Requested:
Make Of RV Wanted:
Model Of RV Wanted:
Approximate Down Payment:

Trade-In Information
Do You Have A Trade In?:
Balance Owed:
Financed With:
Year Manufactured:
Make:
Model:
Overall Condition:

Miscellaneous
Furnish any comments, considerations, concerns, etc.
Additional Comments

Joint Applicant Or Other Party Information
Complete this blue section if any of the items below apply:
  • You are applying for joint credit
  • You are applying for individual credit, but are relying on income from alimony, child support, seperate maintenance, or the income or assets of another person as the basis for repayment of the credit requested.
  • You are applying for individual credit and live in a community property state (Arizona, California, Idaho, Lousiana, Nevada, New Mexico, Texas, Washington, Wisconsin). If so, provide information here about your spouse.

All information provided here relates only to the co-applicant.

You may skip this entire blue section if you are not depending on the income of another person to repay this loan.
If the co-applicant is a spouse, you may click here to automatically transfer common information you furnished above to this co-applicant area. Save yourself some keystrokes!

Personal
First Name:
Middle Initial:
Last Name:
Junior/Senior:
Birth Date:
Social Security Number:
Marital Status:
Address:
City:
State:
Zip:
Home Phone Number:
Number Of Dependents:

Residence
Co-Applicant Currently:
Mortgage Company/Landlord:
Mortgage Company/Landlord Phone:
Monthly Payment:
Balance Remaining:
Time At Current Residence: Years Months
Prior Address:
Prior City:
Prior State:
Prior Zip:
Time At Prior Residence: Years Months

Employment
Employer's Name:
Employer's Phone Number:
Occupation Or Position:
Annual Gross Income:
Time On Job: Years Months
Previous Employer's Name:
Previous Employer's Phone Number:
Previous Occupation Or Position:
Previous Time On Job: Years Months

Other Income
Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Other Monthly Income:
Other Monthly Income Source:

I hereby authorize Sunbelt RV Center Incorporated to start a credit investigation based on the information provided by me here which is correct to the best of my knowledge.
I also hereby state that a bankruptcy proceeding is not in progress nor expected.
Clicking the "Send Application" button below constitutes my signature and authorizes the processing of this application.

Copyright © 2000 Sunbelt RV Center Incorporated. All rights reserved.
Duplication or reproduction prohibited without express written permission.