National RV Direct: Customer Credit Application

Customer Credit Application

Skip the first field if not working with one of our staff. Click Here to Print

Working With

Fax
734-439-3426

Phone
734-439-3400

Applicant

First Name*

Last Name*

Birth Date

(mm/dd/yyyy)

Address 1*

City*

Drivers Lic. #

State/Province

Postal Code

Social Sec. # *

Country

Home Phone

E-Mail*

Employment and Other Income

Employers Name:

Time On Job:
years

Salary $:
(Annual)

Work Phone

Source Of Other Income:

Amount $:
(Monthly)

Mortgage and Bank Info

Mortgage Holder:

Mortgage Payment $:
(Monthly)

Personal Bank:

Account Type: Checkings Savings Both

Joint Applicant

Joint Applicant

First Name

Last Name

Date Of Birth

(mm/dd/yyyy)

Address

City

Drivers Lic. #

State/Province

Postal Code

Social Sec. #*

Home Phone

Joint Applicant Employer

Employer Name:

Time On Job (YR.):

Salary $:
(Annual)

Work Phone

Source Of Other Income:

Amount $:
(Monthly)

TELL US WHAT YOU WANT TO FINANCE

(Any specifics are appreciated.)

Down Payment:

$ ie. 1000

I/We CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE TO THE BEST OF MY/OUR/ KNOWLEDGE