Select Trailer Co. - Shelbyville, TN - Credit Application

Credit Application


Fill out the application completely. FAX to Select Trailer Company at (931) 685-0201 OR PRINT AND BRING the completed application with you when you visit our location.

Applicant Information
Applicant First Name
Middle
Last
Social Security Number
Birth Date
US Citizen	Yes No
Marrital Status	Unmarried Married Separated
Residence	Own Rent Other
Current Street Address
City
State
Zip
Mortgage Or Landlord Name
Balance
Monthly Payment
Home Phone
Work Phone
Pager/Mobile
Previous Address
City
State
Zip
How Long
Occupation
Years In Field
Employer
Years
Have You Had Any Judgements, Foreclosures,Or Bankruptcies In The Past 10 Years?	Yes No
Gross Monthly Income
Previous Employer
Years
Source Of Other Income- Alimony, Child Support,Etc. Source Of Other Income Need Not Be Revealed If You Do Not Wish To Have It Considered As A Basis For Repaying The Obligation.
Monthly Amount

Co-Applicant Information
Co-Applicant First Name
Middle
Last
Social Security Number
Birth Date
US Citizen	Yes No
Marrital Status	Married Unmarried Separated
Residence	Own Rent Other
Current Street Address
City
State
Zip
How Long
Mortage Or Landlord Name
Balance
Monthly Payment
Home Phone
Work Phone
Pager/Mobile
Previous Address
City
State
Zip
How Long
Occupation
Years In Field
Employer
Years
Have You Had Any Judgements, Foreclosures,Or Bankruptcies In The Past 10 Years?	Yes No
Gross Monthly Income
Previous Employer
Years
Source Of Other Income- Alimony, Child Support,Etc Source Of Other Income Need Not Be Revealed If You Do Not Wish To Have It Considered As A Basis For Repaying The Obligation.
Monthly Amount



_________________________________ Applicant Signature	______________________________ Co-Applicant Signature
_______________________________ Date	_____________________________ Date