Financing

SECTION A
SECTION B
SECTION C
FINISH

THIS IS A SECURE FORM

Check Appropriate Box

If you are applying for individual credit in your own name and are relying on your own income or assets and not in the income or assets of another person as the basis for repaying of the credit requested, complete Section A and C.

If you are married and live in a community property state, complete all Sections including Section B providing information about your spouse.

If this is an application for joint credit with another person, complete all Sections providing information in Section B about the Co-applicant.

NOTE: Applicant, if married, may apply for a separate account.

SECTION A. Information Regarding Applicant

Marital Status Married Single Separated

Current Address (Cover 5 Years Residence)

Previous Address

Employment

Previous Employment

Nearest Relative Not Living with Applicant

Alimony, child support or separate maintenance income need not be revealed if you have it considered as a basis for repaying this obligation.

Alimony, child support, searate maintenance received under Court Order Written Agreement Verbal Understanding

SECTION B. Information Regarding Spouse or Co-Applicant

Marital Status

Married

Single

Separated

Current Address (Cover 5 Years Residence)

Previous Address

Employment

Previous Employment

Nearest Relative Not Living With Applicant

Alimony, child support or separate maintenance income need not be revealed if you have it considered as a basis for repaying this obligation.

SECTION C. Asset and Debt Information: List all debts including alimony, child support, separate maintenance, etc.

Housing Rent Own

Credit Information

Status Open Closed

Bank Reference

Account Type Saving Checking

Have you over had any property repossessed? Yes No

Do you have any lawsuits pending? Yes No

Have you ever filed bankruptcy or is a bankruptcy in progress/expected? Yes No

Military Reserve? Yes No Active Inactive

INSURANCE â€“ IF YOU WISH TO APPLY FOR VEHICLE INSURANCE IN CONNECTION WITH THIS CRDIT APPLICATION, COMPLETE THE FOLLOWING

NOTICE: No person is required as a condition pursuant to finance the purof a motor vehicle to purchase insurance through a particular insurance company, agent or broker.

Has your insurance ever been cancelled by any company? Yes No

In the following sentence, the applicant/co-applicant is referred to as "I" and the creditor is referred to as "you and your." I, the undersigned (1) make the above representations, which are certified correct, for the purpose of securing credit; (2) authorize financial institutions to obtain consumer credit reports on me periodically and to gather employment history as they consider necessary and appropriate; (3) authorize your affiliates to obtain consumer credit reports on me; (4) UNLESS THE CHECKBOX THAT FOLLOWS IS CHECKED, I AUTHORIZE THE DEALER'S ASSIGNEE TO SHARE AND USE INFORMATION ABOUT ME, INCLUDING INFORMATION IN MY APPLICATION, WITH OTHER ENTITIES THAT ARE RELATED TO IT BY COMMON OWNERSHIP OR AFFILIATED WITH IT BY COMMON CONTROL. IF THE CIRCLE IS MARKED, I DIRECT THE DEALER'S ASSIGNEE NOT TO GIVE INFORMATION TO SUCH ENTITIES (OTHER THAN INFORMATION ON ITS OWN TRANSACTIONS AND EXPERIENCES.); (5) Understand, that you or any financial institution to whom it is submitted will retain this application whether or not it is approved, and that it is the applicant's responsibility to notify the creditor of any changes of name, address or employment. The financial institutions named below may be requested to purchase a sales finance contract written, or to be written, in connection with your purchase. You are noticed pursuant to the Fair Credit Reporting Act, that your application may be submitted to them or to other financial institutions.

Financial Institutions

Bank of the West
2527 Camino Ramon
San Ramon, CA 94583
US Bank N.A
P.O. Box 3427
Oshkosh, WI 54930
Merrick Bank
P.B Box 1500
Draper, UT 84020
LBS Financial Credit Union
P.O Box 4860
Long Beach, CA 90804
Ally Financial
P.O Box 674
Minneapolis, MN 55440

Bank of America N.A
P.O Box 2759
Jacksonville, FL 32203
Marine One Financial
500 North Akard Suite 1900
Dallas, TX 75201
Medallion Bank
1100 East 6600 South Ste 510
Salt Lake City, UT 84121
Alliant Credit Union
P.O Box 255338
Sacramento, CA 95865
Equality Finance Group
1071 N Tustin Ave Ste: 105
Anaheim, CA 92807

By Typing My Name Below, I Authorize Family RV USA to Run My Credit