Mail or Fax to:

5001 Harrison Ave.

Butte, MT 59701

or call our office for our fax number.

@ 406-494-2555 or 1-800-822-1114

*Please print and fill the credit application completely, including signature and date.

PLEASE READ CAREFULLY BEFORE PROCEEDING... By submitting this application, I agree to the following: In the following sentence, the applicant/co applicant is referred to as "I" and the creditor is referred to as "you and your", I make the below representations, which are certified correct, for the purpose of securing credit; authorize financial institutions to obtain consumer credit reports on me periodically and to gather employment history as they consider necessary and appropriate; authorize your affiliates to obtain consumer credit reports on me; I authorize the dealer's assignee to share and use information about me, including information in my application, with other entities that are related to it by common ownership or affiliated with it by common control; I understand that you or any financial institution to who it is submitted will retain this application whether or not it is approved, and that it is the applicant's responsibility to notify the creditor of any changes of name, address or employment.

Rocky Mountain RV Credit Application
Applicant Information
Name:
Date Birth:						SSN:									Phone:
Current Address:
City:						State:									ZIP:
Own      Rent     (Please circle)				Monthly payment or rent:													How long?
Previous Address:
City:						State:									ZIP:
Owned  Rented  (Please circle)					Monthly payment or rent:												How long?
Employment Information
Current Employer:
Employer Address:																	How long?
Phone:				E-mail:										Fax:
City:						State:										ZIP:
Position:			Hourly   Salary  (Please circle)										Annual Income:
Previous Employer:
Address:																	How long?
Phone:				E-mail:										Fax:
City:						State:										ZIP:
Position:			Hourly   Salary   (Please circle)										Annual Income:
Name of a relative not residing with you:
Address:
City:									State:			ZIP:					Phone:
Relationship:
Co-Applicant Information, if for a joint account
Name:
Date Birth:						SSN:									Phone:
Current Address:
City:						State:									ZIP:
Own      Rent     (Please circle)						Monthly payment or rent:											How long?
Previous Address:
City:						State:									ZIP:
Owned  Rented  (Please circle)						Monthly payment or rent:											How long?
Employment Information
Current Employer:
Employer Address:																	How long?
Phone:				E-mail:										Fax:
City:				State:											ZIP:
Position:			Hourly   Salary  (Please circle)										Annual Income:
Previous Employer:
Address:
Phone:				E-mail:										Fax:
City:				State:												ZIP:
Position:			Hourly   Salary   (Please circle)										Annual Income:
Name of a relative not residing with you:
Address:
City:				State:							ZIP:						Phone:
Relationship:
Credit Cards
Name							Account No.			Current Balance									Monthly Payment
Mortgage Company
Account No.:				Address:
Auto Loans
Auto Loans	Account No.							Balance			Monthly Payment
Other Loans, Debts, or Obligations
Description		Account No.														Amount