• Direct Line: 361-729-0031
  • Toll Free: 877-888-9444
  • 302 West Market Street
  • Rockport, Texas 78382
  1. RV Financing -Credit / Finance Application

* Required Field  
APPLICANT INFO
First Name *
Middle Initial *
Last Name *
Date of Birth *
Social Security Number /
Social Insurance Number *
Home Phone *
(Please Include Area Code)
Email
Cell Phone
(Please Include Area Code)
Address *
City *
State / Province *
Zip Code / Postal Code *
HOUSING INFO
Residence *
Mortgage Holder / Landlord *
Monthly Payment *
Mortgage Balance
Market Value
Years at this Address (years / month) *
Previous Address
(If at current address less than 3 years)

EMPLOYMENT INFO
Employer *
Address *
City
State / Province
Zip Code / Postal Code
Employer Phone *
(Please Include Area Code)
Length of Employment *
Position *
Gross Monthly Income *
Other Monthly Income
Other Income Source
(Alimony, Child Support, or Separate Maintenance Income need not be revealed if you do not wish to have it considered as a Basis for repaying this obligation)
Self Employed
Monthly Child Support/Alimony Paid
Previous Employer (If at current address less than 3 years)
Position
Employer Phone
(Please Include Area Code)
Length of Employment
Address
City
State / Province
Zip Code / Postal Code

 

JOINT APPLICANT INFO
First Name
Middle Initial
Last Name
Date of Birth
Social Security Number /
Social Insurance Number
Home Phone
(Please Include Area Code)
Email
Cell Phone
(Please Include Area Code)
Address
City
State / Province
Zip Code / Postal Code
JOINT APPLICANT HOUSING INFO
Same as Applicant
Residence
Mortgage Holder / Landlord
Monthly or Rent Payment
Time at Address (years / month)
Previous Address
(If at current address less than three years)
JOINT APPLICANT EMPLOYMENT INFO
Employer
Address
City
State
Zip
Employer Phone
(Please Include Area Code)
Length of Employment
(Years / Months)
Position
Gross Monthly Income
Other Income
(Alimony, Child Support, or Separate Maintenance Income need not be revealed if you do not wish to have it considered as a Basis for repaying this obligation)
Source of Other Income
Self Employed
Primary Banking
Monthly Child Support/Alimony Paid
Previous Employer
(If at current employer less than two years)
Position
Employer Phone
(Please Include Area Code)
Length of Employment
(Years / Months)
Address
City
State
Zip Code

 

TRADE-IN INFO
Year
Manufacturer
Model
Mileage
Pay-off Amount
STATEMENT OF CONSENT
By submitting this form, I/we hereby: 1. 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; 2. 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; 3. Certify that I am a US resident; 4. 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; 5. 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*    I disagree

I have read & agree to the terms and conditions of the Camper Clinic's Privacy Policy *
   
Top