Diamond R Trailers Financing Application

Applicant Information
Name as it appears on your drivers license Name as it appears on your drivers license * First Middle Last
Mailing Address Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Social Security Number *
Date of Birth Date of Birth * / MM / DD YYYY
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Driver's License Number *
Email *
Physical Address Physical Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How Long (Yrs/Mo.) *
Living Arrangement *

Living Arrangement Rent Own
Marital Status *
Monthly Payment * $ Dollars . Cents
Landlord/Mortgage Company *
County of Residence *
Employer *
Employer Phone Employer Phone * - ### - ### ####
How Long (Yrs/Mo.) *
Occupation *
Income ($/Month) * $ Dollars . Cents
Previous Employer *
How Long (Yrs/Mo.) *
Additional Income Source
Additional Income Amount ($/Month) $ Dollars . Cents
Alimony, child support, or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for paying this obligation.
Everything I have stated on this application is true to the best of my knowledge and is given for the purposes of obtaining credit. I understand that Diamond R Trailers will retain this application whether or not it is approved. Diamond R Trailers and any other creditor or prospective creditor of the undersigned are authorized to make investigations concerning the undersigned or concerning the above information and to disclose to each other the information set forth above and the results of such information.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY
Co-Applicant Information
Name as it appears on your drivers license Name as it appears on your drivers license First Middle Last
Social Security Number
Date of Birth Date of Birth / MM / DD YYYY
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Driver's License Number
Present Address Present Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How Long (Yrs/Mo.)
Living Arrangement

Living Arrangement Rent Own
Monthly Payment $ Dollars . Cents
Landlord/Mortgage Company
County of Residence
Employer
Employer Phone Employer Phone - ### - ### ####
How Long (Yrs/Mo.)
Occupation
Income ($/Month) $ Dollars . Cents
Previous Employer
How Long (Yrs/Mo.)
Additional Income Source
Additional Income Amount ($/Month) $ Dollars . Cents
Alimony, child support, or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for paying this obligation.
Everything I have stated on this application is true to the best of my knowledge and is given for the purposes of obtaining credit. I understand that Diamond R Trailers will retain this application whether or not it is approved. Diamond R Trailers and any other creditor or prospective creditor of the undersigned are authorized to make investigations concerning the undersigned or concerning the above information and to disclose to each other the information set forth above and the results of such information.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Trailer Purchase Information
Trailer Looking To Purchase (if known)

Please list the make and model, or be as descriptive as possible
Down Payment Amount $ Dollars . Cents
Which Salesperson Have You Worked With (if any?)

Diamond R Trailers Financing Application

Applicant Information

Co-Applicant Information

Trailer Purchase Information