Pre-qualification Application

You may submit this application on-line by filling out the following form and clicking on the "submit" button. If you would prefer to fax this application, print it out and fax the completed form to 410-268-3755 . You will have an answer within 48 hours.
Online Payments

MINIMUM LOAN $25,000

* Required Field
Personal Information
* 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.
Applicant
* Name * E-Mail * Social Security # * Date of Birth

 
* Address * U.S. Citizen
Yes No

 
* City * State * Zip * Years at Residence
 
* Work Phone Cell Phone
* Home Phone  


 

 
* Mortgage Holder *Mortgage/Rent Payment  


   

 
* Employment * Position * Annual Salary * Length of
employment

 
Other Income/ Annually Source of Other Income

(alimony, child support, maintenance payments need not be revealed if you do not wish to rely upon such income for approval)

 

Previous employment required if less than 2 yrs at current employer.

Previous Employment
Previous Position
Previous Annual Salary
Prev. Length of Employ

 

Financial Information

Assets
please do not use commas when entering dollar amounts
* Cash on hand and in banks
     
* Stocks, Bonds, Mutual Funds
     
* 401K, IRA, Retirement
     
* Real Estate Value - Primary Residence
     
* Real Estate Value - Second Home
     
* Real Estate Value - Rental Property
     
* Current RV Value
     
* Other Assets
     
Total$
     
 
Liabilities
please do not use commas when entering dollar amounts
* Credit Cards
     
* Auto Loans
     
* Other Installment
     
* Primary Residence Loan
     
* Second Home Loan
     
* Rental Property Loan
     
* Current RV Loan
     
Total$
     
* Net Worth (Assets minus Liabilities) $
Co-Applicant
ACKNOWLEDGMENT BY CO-APPLICANT: By providing co-applicant information, you confirm your intent to apply for joint credit and be jointly liable for the debt.
* Name  
* Address  
* City
* State
* Zip
* Social Security # * Date of Birth
 

Employment    
   
* Relationship to Applicant    
   
* Purchase
Refinance
* Sale price including tax Price: Tax: Total:
* Year * Loan Request * Term
RV Information
* Manufacturer * Model * Year * Length
* Purchase
Refinance
New
Used
Chassis Mileage
#of Slide Outs Engine Make Use
Pleasure Principle Dwelling
Type       Fuel * Purchase Price w/sales tax
Motor Home 5th Wheel Travel Trailer Other Gas Diesel

Price Tax: Total:

HP Down Payment
$
* Loan Amount Requested * Terms Requested    
$    


* How did you find out about us?

 

Other or specify:

Additional Comments?

 
I/we acknowledge that I/we have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I/we understand that, if the requested credit is granted, you may report information concerning the credit to consumer reporting agencies and to others. I/we affirm that my/our answers are complete and true and authorize you to verify or obtain any information concerning them. Upon your request, I/we further authorize any firm or individual from whom I/we may have obtained or requested credit, to furnish you with the details of that transaction. I/we also agree to provide current financial information upon request, in a form acceptable to you.

* Signature of Applicant & Date (please type your last name & date in the box):

* Signature of Co-Applicant & Date (please type your last name & date in the box):

If you wish to submit this information on-line, click the "submit" button at the bottom of the page. If you prefer to fax this form, click print and fax it to 410-268-3755.

Note to applicant: This prequalification is based purely on information provided to us by you. Verification of this information by us and additional information consisting of your last two years federal tax returns including schedules A-E may be required in order to issue an actual loan commitment. Please fax them to: 410-268-3755.

 

PATRIOT ACT CUSTOMER IDENTIFICATION

The U.S. government, in order to fight the funding of terrorism and money laundering, has issued a law requiring all financial institutions to obtain, verify and record information that identifies each person who opens an account. In addition to the information on our application, please also provide your drivers license number, issue and expiration date, and the state that it was issued. We thank you for your cooperation.

* Primary borrower's name:
* License number:
* Expiration date:
* Issue date:
* State:

*  Signature:


(please type your last name in the box)
* Secondary borrower's name:
* License number:
* Expiration date:
* Issue date:
* State:

*  Signature:


(please type your last name in the box)

* Required Field


 

 

RV loans