6500 Capitol Drive
Greenbelt, MD 20770
301-474-6800
Glen:
844-375-9550
GCardelino@ecapitol.com
Chad B.:
844-805-3514
chadb@ecapitol.com
David:
dsheahan@ecapitol.com
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Home
Inventory
All Inventory
Toter Homes
Motorcoaches
Tag Car Trailers
Gooseneck Trailers
Stacker Trailers
Lift Gate Trailers
Combo Truck/Trailers
Customer Sold Trailers
Sold Units
Apply Online
Get Approved
Loan Calculator
Racing Junk
Hose Heads
Visit Our Store
About Us
Why Buy from Capitol
Meet Our Staff
Hours & Map
Contact Us
Renegade Life!
On Social Media
Photos: Capitol Lives The Life
Privacy Policy
APPLY FOR CREDIT
Applicant Information
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City/State/Zip:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Social Security:
Date of Birth:
April, 2018
Sun
Mon
Tue
Wed
Thu
Fri
Sat
14
1
2
3
4
5
6
7
15
8
9
10
11
12
13
14
16
15
16
17
18
19
20
21
17
22
23
24
25
26
27
28
18
29
30
1
2
3
4
5
19
6
7
8
9
10
11
12
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Drivers License Number:
Drivers License State:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Drivers License Exp:
April, 2018
Sun
Mon
Tue
Wed
Thu
Fri
Sat
14
1
2
3
4
5
6
7
15
8
9
10
11
12
13
14
16
15
16
17
18
19
20
21
17
22
23
24
25
26
27
28
18
29
30
1
2
3
4
5
19
6
7
8
9
10
11
12
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Mobile Phone:
Home Phone:
Email:
Time at Residence:
Years:
0 Years
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Residence Type:
Rent
Own
Living with Family
Military Housing
Other
Rent/Mortgage:
Applicant Employment Information
Employer:
Monthly Income:
Occupation:
Address 1:
Address 2:
City/State/Zip:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Work Phone:
Time on Job:
Years:
0 Years
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12+ Years
Months:
0 Months
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Additional Comments
ACKNOWLEDGMENT AND CONSENT:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
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