Loan Application

Section 1: Please Tell Us About Your Loan Request

Please check the appropriate disclosure boxes below

I/(We) hereby make application for a loan for

Purchase Refinance

INDIVIDUAL: I am applying for an individual account in my own name, and am relying on my own income and assets, and not the income or assets of another person, as the basis for repayment of the credit requested.

JOINT: We are applying for joint credit, and are relying on our joint income and assets as the basis for repayment for the credit requested.

Will this RV be used as a dwelling/residence (primary or otherwise)?

Yes No

I am currently working with.

How did you hear about us?

RV/Camper & Transaction Information:

This RV is:

NEW

USED

Year

Make

Model

Length

Engine Make

Mileage

Gas or Diesel

Purchase Price

Trade Allowance

Sales Tax

Trade Payoff

Total Down

Loan Request

Term Request

Trade-In Information: (If applicable)

Year

Make

Model

Length

Engine Make

Gas or Diesel

Section 2: Please Tell Us About Yourself

First Name

Last Name

M.I.

Date of Birth

Social Security

Are you a US Citizen?

Street Address

City

State

Postal Code

Time at Residence (Year)

Time at Residence (Month)

Monthly Payment

Lender/Landlord

Prior Street Address (If less than three years at current residence)

Prior City

Prior State

Prior Postal Code

Time at Prior Residence (Year)

Time at Prior Residence (Month)

Primary Phone (required)

Cell Phone

Work Phone

Email Address

You agree as follows: On each phone number that you give us on this application, whether land line or cell phone, you consent to Lending Associates, its affiliates, our agents, and assignees of any of us contacting you at the number by calling, texting, or sending other electronic messages, from time to time, for any reason about your accounts the lender and its affiliates, including but not limited to, for collection and payment purposes. You agree that automated dialing equipment or prerecorded voice messages may be used for any of these purposes.

Name of Employer

Position / Occupation

Gross Monthly Income

Time at Employment (Year)

Time at Employment (Month)

Prior Employer (if less than 3 years above)

Prior Position / Occupation

Prior Gross Monthly Income

Prior Time at Employment (Year)

Prior Time at Employment (Month)

Source of Additional Income: Rental Properties/Pension/Retirement/Social Security (You do not have to include information about income from alimony, child support, or separate maintenance payments, unless you want this income to be considered in connection with this application)

Annual Additional Income

Section 3: Please Tell Us About Your Co-Borrower

First Name

Last Name

M.I.

Date of Birth

Social Security

Are you a US Citizen?

Present Street Address (If different from Applicant above):

City

State

Postal Code

Time at Residence

Primary Phone (required)

Cell Phone

Work Phone

Email Address:

You agree as follows: On each phone number that you give us on this application, whether land line or cell phone, you give us consent, our affiliates, our agents, and assignees of any of us contacting you at the number by calling, texting, or sending other electronic messages, from time to time, for any reason about your accounts with the lender and its affiliates, including but not limited to, for collection and payment purposes. You agree that automated dialing equipment or prerecorded voice messages may be used for any of these purposes.

Name of Employer

Position / Occupation

Gross Monthly Income

Time at Employment (Year)

Time at Employment (Month)

To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each customer who opens an account. Therefore, all new and existing customers are subject to the identity verification requirements. I/We authorize the Creditor to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on this application. I/We authorize and instruct any person, including but not limited to, all local, state, or federal governmental agencies, or consumer reporting agencies, to complete and furnish the Creditor any information that it may have or obtain in response to such credit inquiries and agree that such information, along with this application, shall remain the Creditor’s property whether or not credit is extended. I/We authorize the Creditor to furnish credit information, including insurance information, to persons who may lawfully receive and use such information.

I/We certify that the information provided in this application is being given for the purpose of obtaining the credit described above and is true and correct as of this date.

Please type your name into the signature box(s). This will serve as your signature for the submission of your personal financial statement.