Double 4 Trailer Sales

636-938-5278  
800-486-5664  
I-44 Across From Six Flags

Eureka, Missouri  63025

Home
Bumper Pull
Gooseneck
Livestock
Living Quarters
Cargo
Used
Trucks
Hitches
About Us
Inventory
Contact Us
Newsletters
Links
Credit Application
Search

 

 

DOUBLE 4 TRAILER SALES CREDIT APPLICATION
 

APPLICANT INFORMATION:  

    

CO-APPLICANT INFORMATION:
Full Name:   Full Name:

Current Physical Address (No P.O. Box):

 

Current Physical Address (No P.O. Box):

City:    State:       Zip:      City:    State:     Zip:   
Home Phone (incl. area code):    Home Phone (incl. area code): 
Cell Phone (incl. area code):    Cell Phone (incl. area code): 
Date of Birth:    Date of Birth: 
Social Security No.:    Social Security No.: 

US Citizen: Yes No  

MarriedSingleSeparatedDivorced  

US Citizen: YesNo  

MarriedSingleSeparatedDivorced
How Long at Residence:    How Long at Residence: 

Own      Rent     Other

 

  

Own   Rent     Other

 
Mortgage or Landlord Name:    Mortgage or Landlord Name: 
Monthly Payment:    Monthly Payment: 

Previous Address (if less than 2 years):

  

Previous Address (if less than 2 years):
City:   State:        Zip:    City:   State:        Zip: 
Occupation:    Occupation: 
Years in Field:    Years in Field: 
Employer:   Employer:
Years in Current Position:    Years in Current Position: 
Business Phone (incl. area code):    Business Phone (incl. area code: 
Gross Monthly Income:    Gross Monthly Income: 

*Source of Other Income (Alimony, Child Support, etc.) 

 

*Source of Other Income (Alimony, Child Support, etc.) 

Monthly Amount:    Monthly Amount: 
Previous Income (if less than 2 years):    Previous Income (if less than 2 years): 
Yrs Employed by Previous Employer:    Yrs Employed by Previous Employer: 
Driver's License Number:    Driver's License Number: 
Driver's License Expiration Date:    Driver's License Expiration Date: 
Nearest Relative (not living with): 

Address:

Phone (inc. area code):

  Nearest Relative (not living with): 

Address:

Phone (inc. area code):

Have you ever filed bankruptcy?

If yes, when?

 No   Yes

   Have you ever filed bankruptcy?

If yes, when?

 No   Yes
 

*Source of other income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

    

*Source of other income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
 

            ASSETS:

                 LIABILITIES:
Cash In Bank-Checking account(s):   Credit card balance:
Cash In Bank - Savings account(s):   Auto loans:
Bonds, CDs:   Other short term liabilities:
Marketable securities:   Primary residence first mortgage:
Non-marketable securities:   Primary residence second mortgage:
Cash value life insurance:   Mortgages on other real estate:
Retirement accounts, IRA, 401K:      
Accounts receivable:      
Real estate owned - Primary:      
Real estate owned - Other:   Taxes:
Fixed assets:  auto, household goods:   Monthly child support/alimony:
Other assets:  (describe):   Other liabilities (describe):
TOTAL $   TOTAL $
Clarification on asset/liability information:        
  TRAILER INFORMATION:     TRADE-IN INFORMATION:
Year:   Year:
Manufacturer:   Manufacturer:
Model:   Model:
Stock #:   Stock #:
VIN:   VIN:
  New     Used      
I represent that all information contained in this application for credit is true, complete and correct.  I have listed all of my debts on this application and 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 and future credit extensions, to verify my employment, income and 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 to other persons, upon request, information concerning my credit and financial transactions experiences with the bank. 

Applicant:  ________________________________________________________     Date:  _______________________________________

Co-Applicant:  _____________________________________________________     Date:  _______________________________________
Purchase Price: $ _______________
Sales Tax: $ _______________
Sales Price: $ _______________
   
Trade In: $ _______________
Payoff: $ _______________
Cash Down: $ _______________
   
Net Down Payment: $ _______________
Net Sales Price: $ _______________
Service Add-Ons: $ _______________
Additional Fees: $ _______________
   
Loan Amount: $ _______________