Willamette Valley RV Center


Loan Application

To get a jump on the financing process, complete and submit this loan application online and we'll contact you for step two!

LOAN TYPE
You Are:

IF REFINANCING
Current Loan Rate: % Balance on Loan: $ .00
IF A NEW OR USED PURCHASE
Purchase Price: $ .00 (Including sales tax)
Loan Amount Desired: $ .00 (Minimum Loan Amount $20,000)

RV INFORMATION
RV Use: RV Type: RV Year:
Make: Model: Length: ft
Engine Fuel: Mileage: HP:

TRADE-IN INFORMATION (If Applicable)
Make: Model:
Year: Amount Owed: $ .00
Lein holder: Phone#:

SELLER INFORMATION (If Applicable)
Name: Day Phone:

APPLICANT PERSONAL INFORMATION
Full Name:
Address:
City: State: Zip: -
Home Phone: ( ) - e-mail Address:
Date of Birth: / / Social Security #: - -
Are you a US Citizen?: Residential Status:
Res. Payment: $ Years There: Months:
Employer: Occupation:
Employer Address:
Employer Phone: ( ) - Ext.:
Years There: Months:
Gross Monthly Earnings: $ .00
Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.
Bankruptcy?: If Yes, What Year?:

CO-APPLICANT PERSONAL INFORMATION (If Applicable)
Full Name:
Address:
City: State: Zip: -
Home Phone: ( ) - e-Mail Address:
Date of Birth: / / Social Security #: - -
Residential Status: Pymt:$ Years There: Mths:
Employer: Occupation:
Employer Address:
Employer Phone: ( ) - Ext:
Years There: Months:
Gross Monthly Earnings: $ .00
Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.
Bankruptcy?: If Yes, What Year?:

FINANCIAL INFORMATION
Cash & Liquid Investments: $
Retirement Plan(s): $
Real Estate: $
RV/Boat: $
Other Assets: $
Total Assets: $

LIABILITIES:
Credit Cards: $
Notes Payable: $
Mortgages Payable: $
RV/Boat Loan Payable: $
Other Liabilities: $
TOTAL LIABILITIES: $


Preferred Contact Method:
How did you hear about us?
Source Code
(if applicable)



DISCLOSURE
I (we)represent, warrant and affirm that 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)and with the knowledge that you will rely thereon, without limiting the foregoing. I (we) represent and warrant that I (we) have not outstanding obligations to any Bank, Loan Company, Corporation or Individual except as shown on this application and that no lawsuits or judgements are pending or entered against me (us). I (we) authorize you to exchange credit information with others in connection with this application. I (we) understand that you will retain this application and it will remain your property whether or not it is approved. I (we)authorize any creditor to whom this application is forwarded to obtain any credit and employment history from any source and to answer questions about its credit experience with me(us). NOTICE: Consumer credit reports may be requested from one or more consumer reporting agencies (credit bureaus) in connection with this application. If I (we)request, I (we)will be informed whether any consumer report was requested and, if so, of the name and address of the consumer reporting agency which furnished the report.



 
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