Racing Unlimited.com Credit Application

Fill out the Credit Application Form below, then click "Submit Application" to send your Credit Application to Racing Unlimited.

*=Required Field

Machine that you are interested in:

Name/Address
First Name:	Last Name:	Date of Birth:
Social Security Number:		Marital Status:
Phone Number:	Cell Phone Number:		E-mail Address:
Current Address:	City:	State:	ZIP:
Previous Address:	City:	State:	ZIP:

Employment History
Current Employer
Employer:	Job Title:	Supervisor:
Salary: (Before Taxes)	I get paid:
Date From:	Date To:
Address:	City:	State:	ZIP:
Phone:
Employer 2 (if less than 2 years at current job/or enter 2nd employer here if you currently work 2 jobs)
Employer:	Job Title:	Supervisor:
Salary:	I get paid:
Date From:	Date To:
Address:	City:	State:	ZIP:
Phone:

Additional Sources of Income/Other Payments
Additional Sources of Income
Salary:
Bonuses/Commissions:
Income From Rental Property:
Investment Income:
Other Income (list): example: Income 1 $400 Income 2 $250 Income 3 $65
TOTAL INCOME:
Other Payments (Monthly Expenses)
Loans:
Charge Account/Credit Card: (Minimum monthly payment)
Mortgage:
To Whom?
Rent:
To Whom?
Other Expenses (list): example: Expense 1 $400 Expense 2 $250 Expense 3 $65
TOTAL EXPENSES:

Bank References (I.E Job Supervisor, Neighbor, Etc.)
Checking and Saving Information
Institution Name:	Checking Account: Yes No	Savings Account: Yes No
Address:	City:	State:	ZIP:
Phone:
Loan Information
Institution Name:	Loan #:	Balance:
Address:	City:	State:	ZIP:
Phone:
Are you a co-maker, endorser, or guarantor on any other loan?
To Whom?
Are you obligated to make alimony, support, or maintenance payments?
To Whom?
Monthly Amount:
Are there any unsatisfied judgements against you?
To Whom?
Amount:
Have you declared bankruptcy in the last ten years:
When?

Personal References (relative or friend not living with the borrower)
Reference 1
Name:	Relationship to Borrower:
Address:	City:	State:	ZIP:
Phone:
Reference 2
Name:	Relationship to Borrower:
Address:	City:	State:	ZIP:
Phone:

I hearby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.

By checking the following checkbox I agree to the above terms: