Country RV Credit Application
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Personal Information:
Name (First-Middle-Last):
Birth Date:
Social Security Number:
Dependents (Excluding Self):
Telephone:
Email Address:
Current Residence:
Street Address:
City:
State:
Zip Code:
Years At Current Address:
Rent/Own Home:
Purchase Price (If Owning):
Estimated Value (If Owning):
Previous Residence:
Street Address:
City:
State:
Zip Code:
Years At Previous Address:
Current Employment:
Employer Name:
Position:
Years On Job:
Employer Phone Number:
Gross Monthly Income:
Previous Employment:
Employer Name:
Position:
Years On Job:
Employer Phone Number:
Gross Monthly Income:
Nearest Relative Not Living With You:
Relationship To You:
Name:
Street Address:
City:
State:
Phone Number:
Financial Information:
Ever Filed Bankruptcy?:
Bankruptcy Date (If Applicable):
* Other Income Amount:
* Other Income Source:
* Alimony, Child Support and Maintenance Income Need Not Be Disclosed
Bank:
Checking Account Number:
Savings Account Number:
Amount Of Life Insurance:

Co-Applicant information (If Applicable):
Complete the following section only if you are applying for a loan with a co-applicant that will be jointly liable for debt. All information below relates to your co-applicant, not yourself. If you are not applying for a loan with a co-applicant, you may click here to skip this section.

If the co-applicant is your spouse, or an individual with common address and banking information, you may click here to automatically transfer common information from the section above to this section.
 
Personal Information:
Relationship To You:
Name (First-Middle-Last):
Birth Date:
Social Security Number:
Dependents (Excluding Self):
Telephone:
Current Residence:
Street Address:
City:
State:
Zip Code:
Years At Current Address:
Rent/Own Home:
Purchase Price (If Owning):
Estimated Value (If Owning):
Previous Residence:
Street Address:
City:
State:
Zip Code:
Years At Previous Address:
Current Employment:
Employer Name:
Position:
Years On Job:
Employer Phone Number:
Gross Monthly Income:
Previous Employment:
Employer Name:
Position:
Years On Job:
Employer Phone Number:
Gross Monthly Income:
Nearest Relative Not Living With You:
Relationship To You:
Name:
Street Address:
City:
State:
Phone Number:
Financial Information:
Ever Filed Bankruptcy?:
Bankruptcy Date (If Applicable):
* Other Income Amount:
* Other Income Source:
* Alimony, Child Support and Maintenance Income Need Not Be Disclosed
Bank:
Checking Account Number:
Savings Account Number:
Amount Of Life Insurance:

Final Comments, Concerns, Instructions, etc.

I authorize Country RV of Bryan Texas or any credit bureau or other investigation agency employed by Country RV to investigate any company or statements or other data obtained from me or any other person pertaining to my credit and financial responsibility. I also authorize Country RV to furnish to other persons, upon request, information concerning my credit and financial transactions or experiences with Country RV. I represent that all other information contained in this application is true, complete, and correct. I understand that the lendor will rely on the truth of the foregoing statements in granting credit to me. Clicking the "Submit Credit Application" button below constitutes my signature and authorizes the processing of this application.