American Marine & RV Financial Services

CONTACT US!
610 Old Lucas
Beaumont, TX 77706
Office: (409) 892-2229
TF: (866) 988-0356
Fax: (409) 892-2003
TF Fax: (866) 988-0357
info@amrfs.com


SERVICE PROVIDER | CREDIT APP | HOME

Credit Applications
Apply Directly For Financing

American Marine & RV Financial Services can help you with the purchase you've been wanting to make!

ONLINE APPLICATION FORM

Please fill out the below form as comprehensively as possible and send it to us electronically by clicking "Submit" when you have completed it.

IMPORTANT SECURITY NOTE: This electronic form does not utilize encryption technology to protect the transmission of your personal data. We recommend using the printable application and faxing it to us. However, this on line application is for your convience and we will keep all the information confidential. Due to this electronic application being unsecure, we are not responsible for any third parties (malicious or otherwise) that may intercept and use this information in an illegal or otherwise harmful manner.

* Indicates a REQUIRED Field

PERSONAL INFORMATION

*First Name: Middle Name:
*Last Name:
*Date of Birth (MO/DAY/YR): *SSN (###-##-####):
Drivers Lic. #: Drivers Lic. Exp
(##-##):
*Home Phone: *Email: (Required)
*Daytime Phone:
*Marital Status: Married Single Divorced
No. Dependents:


MAILING ADDRESS
*Street Address 1: Street Address 2:
*City: *State:
*Zip Code: County:
*How Long at this Address:


RESIDENCE ADDRESS
(If different than mailing)
Street Address 1: Street Address 2:
City: State:
Zip Code: County:


PREVIOUS ADDRESS
(Within 3 years)
Street Address 1: Street Address 2:
City: State:
Zip Code: County:
How Long at this Address:


*Name and Address of Nearest Relative:


*Kinship: *Phone Number:


Name and Address of Nearest Relative:


Kinship: Phone Number:



EMPLOYMENT INFORMATION

*Employer's Name and Address:
*Business Phone: *How Long With Employer:
*Position and Job Title: *Salary:
*Salary Is: Monthly Semi-Monthly Weekly
Previous Employer's Name and Address
(Within 3 years):
How Long With Previous Employer:


Alimony, Child Support, or separate maintenance income need not be revealed if you do not wish to have all considered as basis for repaying the obligation.
Alimony, child support, separate maintenance received under: Court Order Written Agreement Oral Understanding
Source of Other Income:
How long have you received this other income:
Amount: Amount Is: Weekly Monthly Annually



CREDIT INFORMATION

*Name and Address of Bank:
*Accounts: Checking Savings IRA
Credit Card Loan No Account


Mortgage Holder or Landlord:


Renting Buying House Mobile Home
Cost: Monthly Payment:
Balance:



CO-APPLICANT OR OTHER PERSON

If you are applying for joint credit with another person or if you are applying for individual for individual credit, but are relying on income from alimony, child support, or separate maintenance, or on the income or assets of another person as the basis for repayment of the credit requested, fill in this section about the other person.


*First Name:



Middle Name:


*Last Name:
*Date of Birth (MO/DAY/YR): *SSN (###-##-####):
Drivers Lic. #: Drivers Lic. Exp
(##-##):
Relationship to Applicant: Home Phone:


*Street Address 1:



Street Address 2:


*City: *State:
*Zip Code: County:
*How Long at this Address:


*Employer's Name and Address:


*Business Phone: *How Long With Employer:
*Position and Job Title: *Salary:


*Name and Address of Nearest Relative:


*Relationship: *Phone Number:



FINISHING UP

*Have you ever had a car or other merchandise repossessed: Yes No If yes, when (MO/YR):


*Have you ever declared bankruptcy?:


Yes No


If yes, when (MO/YR):



*Boat/RV:
(Make, Model, Year)



      *Boat/RV Is:


New
Pre-owned
Type: Fiberglass
Aluminum
Other 		      Length:
HP:
*From whom are you buying the boat/RV?


Trade-In Boat/RV:
(Make, Model, Year)



      Trade-In Length:



SALE PRICE: $
+ Tax: $
+ Fees: $
SALE TOTAL: $


Gross Trade In: $
- Payoff on Acct: $
= Net Trade Allowance: $
+ Cash Down: $
TOTAL DOWN PAYMENT: $


UNPAID BALANCE:
(Sale Total - Total Down Payment)

$


I agree to notify the Bank of any material changes in the above statement. I authorize the bank to obtain such information as the Bank may require concerning the statement made in the application and agree that the application shall remain the Bank's property whether or not the loan is granted. I, the above named applicant hereby declare the foregoing statement to be true in every respect. I understand that an investigation may be made whereby that information may be obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry may include information as to my character, general reputation, personal characteristics, and made of living. I further understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. Any willful misrepresentation on this statement could result in a fine and/or imprisonment under the provision of the U.S. Criminal Code.

IMPORTANT SECURITY NOTE: This electronic form does not utilize encryption technology to protect the transmission of your personal data. We recommend using the printable application and faxing it to us. However, this on line application is for your convience and we will keep all the information confidential. Due to this electronic application being unsecure, we are not responsible for any third parties (malicious or otherwise) that may intercept and use this information in an illegal or otherwise harmful manner. Choosing "Submit" below indicates your understanding of this caveat.


"I understand the above statement(s) and agree with their terms."
*Date (MO/DAY/YR):
*Applicant: Yes No
Co-Applicant: Yes No




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