Indian Valley Camping Center

Applicant Information

Stock #

Salesperson

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Down Payment

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Desired Monthly Payment

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First Name *

Please enter a First Name.

Middle Initial

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Last Name *

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Maiden Name

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Date of Birth *

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Social Security Number *

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Driver's License Number *

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Home Phone *

Please enter a valid Phone number: 123-456-7890

Email *

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Cell Phone

Please enter a valid Phone number: 123-456-7890

Address

Please enter a Address.

City

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State

Zip

Please enter a postal code: 12345 or 12345-1234

Residence *

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Mortgage Holder / Landlord *

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Monthly Payment *

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Mortgage Balance

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Market Value

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Years at this Address (years) *

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Previous Address (if at current address less than 3 years)

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Employment Information

Employer *

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Address *

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City *

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State *

Zip *

Please enter a postal code: 12345 or 12345-1234

Employer Phone *

Please enter a valid Phone number: 123-456-7890

Length of Employment *

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Position *

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Gross Monthly Income *

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Other Monthly Income

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Other Income Source

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Self Employed

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Primary Banking *

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Monthly Child Support/Alimony Paid

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Previous Employer (If less than 2 years at current employer)

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Previous Position

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Previous Employer Phone

Please enter a valid Phone number: 123-456-7890

Length of Employment

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Address

Please enter a Address.

City

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State

Zip

Please enter a postal code: 12345 or 12345-1234

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Joint Applicant Information

First Name

Please enter a First Name.

Middle Initial

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Last Name

Please enter a Last Name.

Date of Birth

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Social Security Number

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Driver's License Number

This field is required.

Email

Please enter a valid email.

Cell Phone

Please enter a valid Phone number: 123-456-7890

Address

Please enter a Address.

City

Please enter a City.

State

Zip

Please enter a postal code: 12345 or 12345-1234

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Joint Applicant Housing Information

Residence

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Mortgage Holder / Lanlord

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Monthly or Rent Payment

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Mortgage Balance

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Market Value

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Year at this Address

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Previous Address (if at current address less than 3 years)

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Joint Applicant Employment Information

Employer

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Address

Please enter a Address.

City

Please enter a City.

State

Zip

Please enter a postal code: 12345 or 12345-1234

Employer Phone

Please enter a valid Phone number: 123-456-7890

Length of Employment

This field is required.

Position

This field is required.

Gross Monthly Income

This field is required.

Other Monthly Income

This field is required.

Other Income Source

This field is required.

Self-Employed

This field is required.

Primary Banking

This field is required.

Monthly Child Support/Alimony Paid

This field is required.

Previous Employer

This field is required.

Previous Position

This field is required.

Previous Employer Phone

Please enter a valid Phone number: 123-456-7890

Length of Employment

This field is required.

Address

Please enter a Address.

City

Please enter a City.

State

Zip

Please enter a postal code: 12345 or 12345-1234

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Trade-In Information

Year

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Manufacturer

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Model

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Mileage

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Pay-Off Amount

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State of Consent

By submitting this form, I/we hereby:

Understand and agree that you and any lenders you work with may make credit inquiries and employment inquiries about me, may provide and exchange information about me with any source of credit information to which you may apply, and may disclose information about me with other financial institutions for purposes of fulfilling this credit request;
Certify that all information I have provided on this Application or in connection with this Application is true, correct and complete, whether completed by me or by you at my direction. I understand that you and the lenders you work with will rely on the information in this credit application in making its decision. I also understand that making false statements in order to obtain credit may be a crime;
Certify that I am a US resident;
Agree that if credit is approved, the lender may obtain subsequent consumer reports in connection with reviewing the account, and taking collection action on the account, or for other legitimate purposes associated with the account;
Provide my express written consent for you and/or the lender to contact me, in connection with my loan, at the cell phone number(s) and email address(s) provided.

I Agree *

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Please add me to your email list!

RV Financing

Applicant Information

Housing Information

Employment Information

Joint Applicant Information

Joint Applicant Housing Information

Joint Applicant Employment Information

Trade-In Information

State of Consent

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