Finance


Finance Your Next Trailer at Hays Trailer Sales, Mesa, AZ!

Download the Hays Trailer Sales Financing Application here:
pdf   Application-For-Credit.pdf


Applicant Information

First Name: *
Middle Name: *
Last Name: *
Email: *
Social Security: *
Birthdate: * (##/##/####)
Marital Status: *
U.S. Citizen?: *
Driver's License Number: *
DL Expiration Date?: * (##/##/####)


Current Physical Street Address (NO. P.O. Box)
Street Address: *
Street Address Line 2:
City: *
State: *
Postal / Zip Code: *
Country: *
Housing: Do You: *
How Long There?: *
Mortgage or Landlord Name: *
Monthly Payment: *
Home Phone: * (###-###-####)
Cell Phone: * (###-###-####)
Other Phone: * (###-###-####)


Mailing Address (P.O. Box)
Street Address: *
Street Address Line 2:
City: *
State: *
Postal / Zip Code: *
Country: *


Previous Address
Street Address:
Street Address Line 2:
City:
State:
Postal / Zip Code:
Country:
How Long There?:


Employer Information
Occupation: *
Years in Field?: *
Your Employer: *
Years With This Employer: *
Employer Phone: * (###-###-####)
Gross Monthly Income: *
.
Source of Other Income:

(Alimony, Child Support, etc;)
Monthly Amount:
.


Previous Employer (if less than 2 years at present)
Previous Employer:
Years?:


Do you have a co-applicant?

Co-Applicant Information

First Name:
Middle Name:
Last Name:
Social Security:
Birthdate: (##/##/####)
Marital Status:
U.S. Citizen?:
Driver's License Number:
DL Expiration Date?:(##/##/####)


Current Physical Street Address (NO P.O. BOX)
Street Address:
Street Address Line 2:
City:
State:
Postal / Zip Code:
Country:
Housing: Do You:
How Long There?:
Mortgage or Landlord Name:
Monthly Payment:
Home Phone: (###-###-####)
Cell Phone: (###-###-####)
Other Phone: (###-###-####)


Co-Applicant Previous Address if current is less than 2 years
Street Address:
Street Address Line 2:
City:
State:
Postal / Zip Code:
Country:
How Long There?:


Co-Applicant Employer Information
Occupation:
Years in Field?:
Your Employer:
Years With This Employer:
Employer Phone:
Gross Monthly Income:
.
Source of Other Income:

(Alimony, Child Support, etc;)
Monthly Amount:
.


Co-Applicant Previous Employer (if less than 2 years at present)
Previous Employer:
Years?:


Trailer Information

Please include information about the type of trailer you are interested in purchasing (if known).

Trailer Year:
Trailer Make:
Trailer Model:


Acceptance of Terms

I/We certify that the information given is true, correct and complete and is given for the purposes of obtaining credit, and CERTIFIED CAPITAL INC-TRAILER FINANCE 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, including credit inquiries and employment verifications 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.

Date *(##/##/####)


Date *(##/##/####)

* indicates a required field

You're missing required information


  CALL US: (480) 357-1018            VISIT US: 8449 Main St. Mesa, AZ 85207            HAVE A QUESTION? CONTACT US!