Online Credit Application

*All Information provided will be used for
Internal Use Only!
Any information that you do not feel comfortable inputting on this form must be submitted either in person or over the phone
within 48hrs after submitting your application!
The sooner all the information is submitted,
the sooner you can get a response!

*Please fill out ALL FIELDS which include CONTACT INFO!

Applicant Information

Full Legal Name:

Date of Birth:

SIN:

Marital Status:

Residential Phone:

Email:

Present Address:

How Long Have You Lived at Your Present Address?
Years Months
(If less than 2 Years, Please Fill out Previous Address Information)

Previous Address:

How Long Have You Lived at Your Previous Address?
Years Months

Monthly Housing Costs:
Monthly Payment:
Mortgagee/Bank:
Value of House:

Amount Left Owing on House:

Other Monthly Obligations:
Monthly Payment:
Monthly Payment:
Monthly Payment:

Present Employment Details:
Employer:
Occupation:
How Long: Years Months
Employment Address :
(If Less than 2 Years, Please Fill Out Prev. Employment Details)
Gross Monthly Income:
Employer's Contact Name & Number:
Accountant's Name & Number:

Previous Employment Details:
Employer:
Occupation:
How Long: Years Months
Gross Monthly Income:
Employer's Contact Name & Number:
Work Address:
Accountant's Name & Number:

Details on Financed Vehicles:

Year: Make:
Model:
Financed By:
Balance Owing: Monthly Payment:

Year: Make:
Model:
Financed By:
Balance Owing: Monthly Payment:

Co-Applicant Information

Full Legal Name:

Date of Birth:

SIN:

Marital Status:

Residential Phone:

Email:

Present Address: Same As Applicant

How Long Have You Lived at Your Present Address?
Years Months
(If less than 2 Years, Please Fill out Previous Address Information)

Previous Address: Same As Applicant

How Long Have You Lived at Your Previous Address?
Years Months

Monthly Housing Costs:
Monthly Payment:
Mortgagee/Bank:

Other Monthly Obligations:
Monthly Payment:
Monthly Payment:
Monthly Payment:

Present Employment Details:
Employer:
Occupation:
How Long: Years Months
(If Less than 2 Years, Please Fill Out Prev. Employment Details)
Gross Monthly Income:
Employer's Contact Name & Number:
Employment Address:
Accountant's Name & Number:

Previous Employment Details:
Employer:
Occupation:
How Long: Years Months
Gross Monthly Income:
Employer's Contact Name & Number:
Accountant's Name & Number:

Details on Financed Vehicles:

Year: Make:
Model:
Financed By:
Balance Owing: Monthly Payment:

Year: Make:
Model:
Financed By:
Balance Owing: Monthly Payment:

Details of Item To Purchase:

Trailer Type:
New/Used:
Year:
Make:
Model:
Serial Number:

Details of Item to Trade:

Trailer Type:
Year:
Make:
Model:
Length:
Description:
Serial Number:
Financed By: Lien Owing:

Contact Information:

(Please Ensure that this Portion is Filled Out Completely to
Ensure that we can Contact You if there is anything we need clarified
Prior to submitting your application to the Bank!)

Residential Phone #
Applicant:
Co-Applicant:

Work Phone #
Applicant:
Co-Applicant:

Cell Phone #
Applicant:
Co-Applicant:

Email
Applicant:
Co-Applicant:

Centrally located in Southern New Brunswick…

Take Exit 198 & Follow The Hospital Signs!

116 Cougle Rd.
Sussex Corner, NB
E2E 2S6
Phone: (506)433-4222
Fax: (506)433-2339

Sales@DougsRecreation.com

Now You Can Fill Out a Credit Application Online!
Click Here for More Details!

Applicant Information

Full Legal Name: -Title- Mr. Miss Mrs. Ms.

Full Legal Name: -Title- Mr. Miss Mrs. Ms.

Full Legal Name:

Full Legal Name: