McCords of Vancouver

Secure Credit Application

Please Select the Appropriate Option
	Applying for credit in your own name and based solely on your own credit worthiness. Or, Applying for credit with another person based on combined credit worthiness.


Complete This Section Only for Pre-Approval
Dealership:	Vancouver RV
Sales Rep.
Vehicle Information:
Stock No.
Year
Make / Model
Loan Amount

Applicant:
First, Last, (MI)	,
Home Phone
Your E-Mail
Date of Birth
SSN
Address
City
State
Zip Code
How long there	Yrs. Mo.

Applicant Continued:

Drivers License Number

Issuing State

Present Employer

Time on the Job

Years

Monthly Income
from Employer

Net

Gross

Work Phone Number

Spouse:

First, Last, (MI)

,

Date of Birth

SSN

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 debt.
Describe
Amount $	Mo.

Residence Information:
Your Home
Describe "Other"
Mortgage Holder or Landlord
Phone Number
Purchase Price $
Original Loan Amount $
Present Balance $
Rent or Mortgage $ Payment
Value of Home $

Credit Reference:
Creditor Name
Balance
Mo Payment

Bank Information:
Financial Institution
Account Number
Branch or Address
Type of Account

Have you ever filed for bankruptcy?
Applicant	Spouse

Have you ever had suits, judgments, tax liens or repossessions?
Applicant	Spouse

Please read the below privacy notice, and select Accept to continue. Privacy Notice In connection with your transaction, the dealership may obtain information about you as described in this notice. 1. We collect nonpublic personal information about you from the following sources: Information we receive from you on applications or other forms; Information about your transactions with us, our affiliates or others; and, Information we receive from consumer reporting agency (e.g., credit bureau). 2. We may disclose all of the information we collect, as described above, to companies that perform marketing services on our behalf or to financial institutions with whom we have joint marketing agreements. We may make such disclosures about you as a consumer, customer, or former customer. 3. We may also disclose nonpublic personal information about you as a customer, customer for former customer to non-affiliated third parties as permitted by law. 4. We restrict access to nonpublic personal information about you to those dealership personnel who need to know that information in order to determine your eligibility for products and services, and to provide you with products and services, and to those who are subject to confidentiality provisions and restrictions that prohibit use of information beyond the performance of specified services. To guard your nonpublic personal information we maintain physical, electronic, and procedural safeguards that comply with federal standards.
	Accept, I have read the privacy notice above authorize you to check my credit.
	Decline, I do not authorize you to check my credit.
Please review the information provided then press the submit button.
Please the Information

	Vancouver RV 10009 N.E. Fourth Plain Blvd. Vancouver, WA 98662		Phone: Email Us	(888) 214-9483