financing for horse trailers, recreational vehicles, boats and marine
Welcome to CCI
 
Please fill out our online application as completely as possible. Fields with a * next to them are required and must be filled out in order to submit the application. If you prefer to complete a written application, click here for a printable version and then fax the completed application to 888-350-6639.
*Type Vehicle Being Financed
Marine    RV    Trailer/Horse Trailer    Other
Seller
Seller Name:
*Seller Type:
Dealer    Private Party       
Seller Phone: (111-222-3333)
Applicant
Is this a Joint Application? Yes No
*First Name:
Middle Name:
*Last Name:
*SSN: (111-22-3333)
*Date of Birth:
US Citizen:
Yes          No
Marital Status:
*Street Address:
*City:
*State:
*Zip Code:
County of residence:
Housing Status:
Own    Rent    Other
*How Long At This Address?(years):
Mortgage/Landlord:
Mortgage Balance:
Monthly Payment:
*Main Phone:
*Work Phone:
Other Phone:
*Occupation/Title:
*Employer:
Years In Field:
*Years On Current Job:
*Gross Monthly Income:
Previous Employer:
Previous Time On Job:
Other Income Description:
Other Income Amount Monthly:
*Email Address:
Judgements/Foreclosures/Bankruptcies:
Yes          No
Co-Applicant
*First Name:
Middle Name:
*Last Name:
*SSN:
*Date of Birth:
US Citizen:
Yes          No
Marital Status:
*Street Address:
*City:
*State:
*Zip Code:
Housing Status:
Own    Rent    Other
*How Long At This Address?(years):
Mortgage/Landlord:
Mortgage Balance:
Monthly Payment:
*Main Phone:
*Work Phone:
Other Phone:
*Occupation/Title:
*Employer:
Years In Field:
*Years On Current Job:
Judgements/Foreclosures/Bankruptcies:
Yes          No
*Gross Monthly Income:
Previous Employer:
Previous Time On Job:
Other Income Description:
Other Income Amount Monthly:
Email Address:
Item(s) Being Financed
(1) *Is item new or used?:
New          Used
Model Year:
Make:
Model:
(2) Is item new or used?:
New          Used
Model Year:
Make:
Model:
(3) Is item new or used?:
New          Used
Model Year:
Make:
Model:
Trade-in Model Year:
Trade-in Make:
Trade-in Model:
Payoff Bank Name:
For the field below, consider all aspects of the transaction, such as new item costs, down payments, trade-in allowances, pay-offs, and other fees, to calculate the finance amount.
*Estimated Amount Financed:
($ amount must be at least $2,500)
If you have any comments or special instructions, please type them in below.
Comments:
   

I (We) certify that the information given is true, correct and complete and is given for the purpose of obtaining credit, and Certified Capital, Inc. and any other creditor or prospective creditor of the undersigned or any agency employed by you or any of them are authorized to make investigations concerning the undersigned or concerning the above information and to disclose to each other the information set forth above and the results of such investigations.

Clicking “I accept” is the transmission of my signature that will be held equally enforceable as my genuine signature and that I have read CCI's Privacy Policy and Disclosure.
I accept
Note: after clicking "Submit" the program will open a .pdf of the application that you can print or save. Once finished, you can click the "Back" button and continue to browse our site.
 
   
 
© 2006, Certified Capital Inc.. All rights reserved.