Lakeshore RV Credit Application

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Working With

Fax
231-788-5205

Phone
231-788-2040

Applicant

Prefix

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*

Years There (If less than 2 years) Previous Address

Employment and Other Income

Occupation

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: Checking´s Savings Both

Joint Applicant

Prefix

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