Secure Finance Application

Statement of Consent

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience.

Please initial below to indicate that you have received a copy of our Privacy Notice and agree to all of the above.

YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR IDENTITY IS SAFE

Initial Here

Co-Applicant's Initial Here

Vehicle Information

Type

Condition

Year

Make

Model

Mileage

Cash Down

Purchase Price (excluding tax)

Dealer or Seller Name

Dealer or Seller Phone Number

Desired Finance Term in Months

How Did You Hear About Us?

Trade Information

Is There A Trade?

Trade-In Make

Trade-In Model

Trade-In Year

Trade-In Mileage

Trade-In value

Amount Owed

Your Contact Information

Name As It Appears on Driver's License

First Name

Middle Name

Last Name

Suffix

Work Phone

Mobile Phone

Preferred Phone

E-mail

Social Security Number

Date of Birth

Marital Status

Spouse Name

Spouse Income

Physical Address Information

Physical Address

City

State

Zip

How long at this address

Previous Address (If less than 3 years at Current Address...)

Address

City

State

Zip

Employer Information

Occupation Description

Employer Name

Work Phone

Current Salary

Salary Type

Time at Employer

Other Income Monthly

Source of Other Income

Previous Employer Information (If less than 5 years at Current Employer...)

Occupation

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Salary (Annually Gross)

Time at Employer

Joint Applicant Contact Information

First Name

Middle Name

Last Name

Suffix

Work Phone

Mobile Phone

Preferred Phone

E-mail

Social Security Number

Date of Birth

Marital Status

Joint Physical Address Information

Same as Primary Address?

Physical Address

City

State

Zip

How long at this address

Joint Applicant Previous Address (If less than 3 years at Current Address...)

Address

City

State

Zip

Joint Applicant Employer Information

Occupation Description

Employer Name

Work Phone

Current Salary

Salary Type

Time at Employer

Other Income Monthly

Source of Other Income

Joint Previous Employer Information (If less than 5 years at Current Employer...)

Occupation

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Salary (Annually Gross)

Time at Employer

Acknowledgment

In compliance with federal legislation, we will be verifying pertinent information which will enable us to confirm your identity.

All of the statements made by me (us) in this application are true and correct and have been made by me (us) in order to induce you to grant credit to me (us). I (we) have no outstanding obligations except as shown in the application and/or personal financial statement and no undisclosed lawsuits or judgments are pending or entered against me (us).

I (we) authorize and acknowledge that consumer credit reports and employment history reports about me will be requested by RV Lending Group and third parties in connection with this application and/or ongoing basis in connection with updates, renewals, extensions or enforcement of any credit granted as a result of this application. I (we) certify that all of the information in this application is complete and accurate to the best of my (our) knowledge. Third party creditors will rely on this application in deciding whether to grant the credit request. I (we) authorize the sharing of information obtained in connection with this credit request, and any resulting loan, between RV Lending Group and any third party creditor that evaluates the credit request. I (we) agree that this application shall be and remain the property of RV Lending Group and any third party creditors that evaluate this credit request, whether or not this application is approved.