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Application For RV and Marine Financing

Please fill out and submit the application below

Purchase Information

Purchased From:
Contact:
Phone:
Fax:

Applicant Contact
Information

Co-Appl Contact
Information

*Applicant:
SSN:
Address:

*City:
*State: 
Zip:
Home Phone:
Years At Address: 

Birthdate:

Co-Applicant:
SSN:
Address:
Relationship:
City:
State:
Zip:
Home Phone:
Years At Address:

Birthdate:

Applicant
Employment

Co-Appl
Employment

Present Employer: 
Address: 
City: 
State: 
Zip: 
Phone: 
Years There: 
Present Employer: 
Address: 
City: 
State: 
Zip: 
Phone: 
Years There: 
Gross Monthly Salary:  Position Held: 

Gross Monthly Salary:  Position Held: 

Applicant Additional
Income

Co-Appl Additional
Income

Additional Income Source: Monthly Amount: 
Additional Income Source: Monthly Amount: 
Home:   Own   Rent Live With Relatives   Paid For
Home:   Own    Rent Live With Relatives   Paid For
Mortgage Co./Landlord:

Monthly Payment or Rent:

Mortgage Co./Landlord:

Monthly Payment or Rent:



Are you a U.S. Citizen?      Applicant Yes  No       Co-Applicant Yes  No


Other Income: 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.

Boat or RV Information

* New  Used

* Boat  Motor Home  Trailer/5W  Camper


BOATS ONLY

*Year 
*Make 

*Model 
Size 

I/O   Outboard   Inboard  

Gas   Diesel  

Twin   Single

Horse Power 
Engine Make 

Model 
Year 

Trailer  Yes  No  

REC VEHICLES

* Year 
* Make 

* Model 
Size

Gas   Diesel  

Engine Make 


LOAN TERM REQUESTED

Years


Dealer Cost New $



Sales Price Information

*Sales Price $
Taxes $
Docs, Reg, Fees $
Warranty/Gap $
Total Sale $


Cash Down $
Trade Allowance $
Trade Payoff $


Payoff Lender
Net Trade $
Loan Amount $



Please Read:

By clicking "submit" below, or by signing this application, you promise that all the information is true and complete. You intend that the seller, lender and or assignee may rely upon these promises in deciding to extend credit to you. You also authorize a full investigation of your credit record and your employment history. You also authorize the seller, lender and or assignee to release information about your credit. It is understood that the co applicant is aware that he/she is applying for credit and that they will be jointly and or solely liable for the debt. (if faxing this form, please sign and date this form directly below the submit button)


Please enter your email address and the best number to contact you below:

* E-mail

* Best Contact (Cell etc.)




If you experience problems submitting your applicationFinancial.chesapeake@gmail.com