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Application Type

Individual / Joint

Personal

Full Name (required) Email Address (required) Phone Number (required) Birth Date (required) SSN (required)

Home

Address (required) (No P.O. Boxes) City (required) State (required) Zip code (required) Years (required) Months (required) Home Status (required) "Other" Home Status (Please explain if "other" home status selected above) Payment (required)

Previous Home

Address City State Zip code

Employment

Employer (required) Phone Number Years (required) Months (required) Position Annual Gross Income (required)

Previous Employment

Employer Phone Number Position Annual Gross Income

Other Income

Additional Income?

Yes

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.

Income Source Income Source Information Please provide additional details of income source. For example, if this source is a second job, include employer name, time on job, and phone number. Amount

Confirm & Apply

I represent that all information contained in this application for credit is true, complete, & correct. I understand that you will rely on the truth of the foregoing statements in granting credit to me. I authorize you, in determining my eligibility for credit, renewal of credit, & future credit extensions, to verify my employment, income, & all other information I have provided, and obtain information about me from credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. I also authorize you to furnish other persons, upon request, information concerning my credit & financial transactions or experiences with the bank. To help the government fight the funding of terrorism & money laundering activities, Federal law requires all financial institutions to obtain, verify, & record information that identifies each person who opens a bank account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

By submitting this form, you are granting permission to Couch's RV Nation to contact you via email, phone call, and text message about this request. Message & data rates may apply.

I have also reviewed & accept RV Nation's privacy policy.

I Agree to these terms (required)

Application Type

Individual / Joint

Personal

Full Name (required) Email Address (required) Phone Number (required) Birth Date (required) SSN (required)

Home

Previous Home

Address City State Zip code

Employment

Employer (required) Phone Number Years (required) Months (required) Position Annual Gross Income (required)

Previous Employment

Employer Phone Number Position Annual Gross Income

Other Income

Additional Income?

Yes

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.

Income Source Income Source Information Please provide additional details of income source. For example, if this source is a second job, include employer name, time on job, and phone number. Amount

Personal (Co-Applicant)

Relationship to Primary Applicant (required) Full Name (required) Email Address (required) Phone Number (required) Birth Date (required) SSN (required)

Home (Co-Applicant)

Address (required) City (required) State (required) Zip code (required) Years (required) Months (required) Home (required) "Other" Home Status (Please explain if "other" home status selected above) Payment (required)

Previous Home (Co-Applicant)

Address (No P.O. Boxes) City State Zip code

Employment (Co-Applicant)

Employer (required) Phone Number Years (required) Months (required) Position Annual Gross Income (required)

Previous Employment (Co-Applicant)

Employer Phone Number Position Annual Gross Income

Other Income (Co-Applicant)

Additional Income?

Yes

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.

Income Source Income Source Information Please provide additional details of income source. For example, if this source is a second job, include employer name, time on job, and phone number. Amount

Confirm & Apply

I represent that all information contained in this application for credit is true, complete, &correct. I understand that you will rely on the truth of the foregoing statements in granting credit to me. I authorize you, in determining my eligibility for credit, renewal of credit, &future credit extensions, to verify my employment, income, &all other information I have provided, and obtain information about me from credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. I also authorize you to furnish other persons, upon request, information concerning my credit &financial transactions or experiences with the bank. To help the government fight the funding of terrorism &money laundering activities, Federal law requires all financial institutions to obtain, verify, &record information that identifies each person who opens a bank account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

By submitting this form, you are granting permission to Couch's RV Nation to contact you via email, phone call, and text message about this request. Message & data rates may apply.

I have also reviewed & accept RV Nation's privacy policy.

We Agree to these terms (required)

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Up to 90 days until first payment

Terms and conditions apply, please speak with our finance department for more information.

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