Southwest Trailers
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Application For Credit
Please complete all areas Items marked with * must be completed or you may click here for a Printable Version...
Disclosure and Consent Statement

Personal Details  
First Name *
Middle Name *
Last Name *
Date of birth  
SSN  

Address Info
Address
  City  State Postcode
Home phone *
Mobile phone
E-mail address
Time at current Address Years
Previous Address
(if less than 2 years)		 Years
Rent
Mortgage/Landlord
Marital Status
Nearest Living Relative Name
Relative's Phone

Employment Details
Employer
Employer Phone Number
Occupation
Time at Current Employment Years
Monthly Gross Income Monthly
Any Additional Income Source:
Time at Previous Employment
(if Less than 2 Years)		 Years
   
Co-Applicant Details  
First Name *
Middle Name *
Last Name *
Date of birth  
SSN  

Address Info
Address
  City  State Postcode
Home phone
Mobile phone
E-mail address
Time at current Address Years
Previous Address
(if less than 2 years)		 Years
Rent
Mortgage/Landlord
Marital Status

Co-Applicant Employment Details
Employer
Employer Phone Number
Occupation
Time at Current Employment Years
Monthly Gross Income Monthly
Any Additional Income Source:
Time at Previous Employment
(if Less than 2 Years)		 Years

Unit of Interest
Year
Manufacturer
Model
Sales Price
Down Payment
Trade Value
Taxes
Doc Fees
Amount Financed
Monthly Payment Range Desired
Comments

Submitting your Application

Thank you for taking the time to complete this form. Before submitting it, please refer below.

Yes, I/we hereby agree that by completing and submitting this application, I have read the Privacy Statement.  *
 Yes, I/we the aforementioned applicant(s) hereby declare that the several statements made in this application are true and correct in every particular. *

You may wish to print the completed application form;
for your own records before submitting it; or if you prefer to send it to us by mail or fax.

I (we) certify that the information given above is true, correct and complete and is given for the purpose of obtaining credit. I (we) understand that consumer credit reports may be requested from consumer reporting agencies in connection with this application. I (we) authorize Southwest Trailer Sales to view our consumer credit report. I (we) authorize Southwest Trailer Sales to exchange credit information with others in connection with this application. NOTICE TO CALIFORNIA RESIDENTS - Applicant, if married, may apply for a separate account.

 

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