CREDIT APPLICATION  
APPLICANT INFORMATION:                    
FULL LEGAL NAME DATE OF BIRTH US CITIZEN? Yes/No   SOCIAL SECURITY NUMBER
CURRENT STREET ADDRESS CITY STATE ZIPCODE YRS AT RESIDENCE
PREVIOUS STREET ADDRESS CITY STATE ZIPCODE YRS AT RESIDENCE
HOME PHONE    OWN / RENT / OTHER?   MONTHLY PAYMENT   LANDLORD / MORTGAGE COMPANY  
BUSINESS PHONE SELF EMPLOYED? BUSINESS / EMPLOYER NAME   OCCUPATION                CITY OF EMPLOYER YRS AT JOB
PREVIOUS EMPLOYER  (IF WITH CURRENT EMPLOYER FOR LESS THAN 2 YEARS)     OCCUPATION YRS AT JOB
GROSS MONTHLY INCOME  ADDITIONAL MONTHLY INCOME AND SOURCE
  (ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE) INCOME NEED NOT BE REVEALED
PERSONAL REFERENCES ( TWO REQUIRED)
NAME        ADDRESS CITY STATE ZIPCODE HOME PHONE WITH AREA CODE
NAME        ADDRESS CITY STATE ZIPCODE HOME PHONE WITH AREA CODE
CO-APPLICANT INFORMATION:                  
FULL LEGAL NAME DATE OF BIRTH US CITIZEN? Yes/No SOCIAL SECURITY NUMBER
CURRENT STREET ADDRESS CITY STATE ZIPCODE YRS AT RESIDENCE
PREVIOUS STREET ADDRESS CITY STATE ZIPCODE YRS AT RESIDENCE
HOME PHONE    OWN / RENT / OTHER?   MONTHLY PAYMENT   LANDLORD / MORTGAGE COMPANY  
BUSINESS PHONE SELF EMPLOYED? BUSINESS / EMPLOYER NAME   OCCUPATION                CITY OF EMPLOYER YRS AT JOB
PREVIOUS EMPLOYER  (IF WITH CURRENT EMPLOYER FOR LESS THAN 2 YEARS) OCCUPATION YRS AT JOB
GROSS MONTHLY INCOME  ADDITIONAL MONTHLY INCOME AND SOURCE
  (ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE) INCOME NEED NOT BE REVEALED
By signing below, you authorize the bank to obtain a credit report in connection with this application.  The undersigned represents that all
information contained in this application for credit is true, complete, and correct. 
APPLICANT SIGNATURE DATE CO-APPLICANT SIGNATURE DATE
X X
DEALER/ PURCHASING INFORMATION                
ITEM BEING FINANCED
NEW / USED YEAR MAKE MODEL
SALES PERSON:
D2 TRAILER SALES AND SERVICE 209-745-5480   /  209-745-5484 Fax
PO Box 5156 / 13246 W. STOCKTON BLVD GALT, CA 95632