Financing Application Application Type * Application type PersonalBusiness IndividualJoint Co-Applicant Name: Co-applicant Last Name: Equipment Information Stock Number Salesperson Sales Price Down Payment Primary Applicant Information * First Name Middle Name * Last Name * Date of Birth * Social Security Number * Marital Status —Please choose an option—MarriedSingleDivorced * Phone Number * Email Address Identification Information * Primary ID Type —Please choose an option—Driver's LicensePassport * Issued by —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY * Primary ID # * Expire Date Secondary ID Type —Please choose an option—Credit CardDebit Card Issued by Expiration Date Current Address Information * Residential Status —Please choose an option—Own/BuyingRent/LeasingParents/RelativesOther * Mortgage/Rent Payment * Years at Residence —Please choose an option—012345678910+ * Months at Residence —Please choose an option—01234567891011 * Street Address (Not P.O. Box) * City * State —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY * Zip Code * County of Residence Mailing address is different from above. * Address (Mailing) * City (Mailing) * State (Mailing) * Zip (Mailing) Employer Information * Employment Status —Please choose an option—Salary / W2 wagesSelf-EmployedRetirement DisabilityUnemployed * Monthly Gross Income $ * Employer Name * Employer City * Years at Employment —Please choose an option—012345678910+ * Work Phone Other Income Source $ Other Income (Monthly Gross) $ Reference Information * Nearest relative’s name * Phone number * Address * Relationship Customer Authorization By checking this box, you agree that you have read and acknowledge our Privacy Policy. By checking this box, and signing below, you the applicant certifies that the information furnished in this credit application is true, complete, and accurate to the best of their knowledge. The undersigned expressly authorizes the lending institutions partnered with Blue Star Trailer Supply to conduct a thorough credit investigation, which may include, but is not limited to, the retrieval of credit reports from credit reporting agencies, and the verification of employment and income information. It is expressly acknowledged that Blue Star Trailer Supply itself does not directly access or retrieve the applicant’s credit information; such actions are exclusively performed by the authorized lending partners affiliated with Blue Star Trailer Supply. The privacy of the applicant’s personal and financial information is our top priority. All credit applications are processed via secure and confidential systems to safeguard such information. Disclosure * Type your name below Please leave this field empty. LENDING PARTNERS