1. Personal Information
* Required fields
* First Name:
Middle Name:
* Last Name:
* Email:
* S.S.N.:example: (800-232-3279)
* Dependants:example: (3)
* Age:example: (42)
* Date of Birth:
2. Current Address
* Street Address:example: (15799 Young Rd.)
* City:example: (Greencastle)
* State:example: (PA)
* Postal Code:example: (17225)
* Length At Current Address: example:(10 Years)
* County:example: (Franklin)
* Phone Number: example:(800-232-3279)
3. Previous Address (Skip to "4. Living Status" if you have been at your current address longer than 3 years.)
Street Address: example: (15799 Young Rd.)
City: example: (Greencastle)
State: example: (PA)
Postal Code: example: (17225)
Length At Previous Address: example:(10 Years)
4. Living Status
* Marital Status:Single Married
* Residence:Own Rent Parents Other Land Contract
Purchased Price: example: ($120,000)
Balance Owed: example: ($75,000)
Monthly Payment: example:($1,200)
Leinholder/Landlord: example: (Patriot Federal Credit Union)
Market Value: example:($175,000)
5. Current Employment
* Employer:example:(Parson's Roofing Services)
* Occupation:example:(General Manager)
* Employer Phone Number:example: (800-232-3279)
* Gross Monthly Salary:example: ($5,000)
* Length of Employmentexample: (5 Years)
6. Previous Employment (Skip to "7. Other Income" if you have been at your current employer longer than 3 years.)
Employer: example:(Parson's Roofing Services)
Occupation: example:(General Manager)
Employer Phone Number: example: (800-232-3279)
Gross Monthly Salary: example: ($5,000)
Length of Employment example: (5 Years)
7. Other Income (Please do not include spouse income in this field.
Other, Monthly: example:($1,000)
Source of Income: example:(Rental Property)
8. Bank/Credit Union Reference
* Bank Name:example:(Patriot Federal Credit Union)
Account Type: Checking Savings
Credit Card: Visa/Master Card American Express Discover Store Other
9. Co-Applicant
Click to Apply with a Co-Applicant
10. Nearest Relative
* Nearest Relative:example:(Patriot Federal Credit Union)
* Relative's Address:example:(Greencastle, PA)
* Relative's Phone Numberexample:(800-232-3279)
11. RV Information (Please enter the details of the new model you would like to finance.)
Year: example:(2006)
Make: example:(Flagstaff)
Model: example:(26RLS)
12. Email Information
* Email:
13. RV Consultant (Please select a RV Consultant if you have spoken with one.)
RV Consultant:
Select one
Bob Zeigler
Eric Kendle
Robert Devere
Ken Dawson
Paul Chesney
Jonathan Jr Berkley
None
(Human Verification) Please enter the total of the 2 numbers below so that we
can be sure that you are a human and not a spam-bot.
* 24 plus 34?
14. Send Application
You represent that all information in the application is accurate and complete, that you are competent to enter into contracts, that no bankruptcy proceeding is in progress or anticipated which involves you and that no additional applications for credit with another lender have recently been submitted by you prior to our consideration of this application. We are not obligated to grant you credit and we may retain the application whether or not credit is granted. You agree to pay all fees in connection with this application and your loan. You authorize us to obtain information from others concerning your credit standing and other relevent information impacting on this application and to provide to others information about our experience with you.
