Secure & Confidential USA Financing Application

This form is intended to collect personal information required for application for New Coast Financial. Please complete the below form for each Applicant (i.e. if needed, fill out a second form in its entirety for a Secondary Applicant). OGT will use this information to complete your financing application. Although not all information is required, the more you provide, the more likely it is that your financing will be approved. Once received, OGT will schedule a video call to confirm this information and review the terms of financing.

THIS FORM IS FOR US APPLICANTS ONLY.

Visit Canadian Financing - Off Grid Trailers for information on financing available to Canadian customers.

All information requested per this form is considered confidential and collected by OGT solely for the purposes of facilitating financing. For more information, please review the OGT Privacy Policy.

Personal Information

First name*

Middle Name

Last name*

Email*

Phone number*

Mobile phone number

Work Phone

Date of Birth? (YYYY/MM/DD)*

Year-Month-Day

Gender

Marital status*

Social Security Number (SSN)*

How did you hear about this Financing program?

Current Address

Street address*

City*

State/Province *

Select Your Country*

Zip Code*

Duration at Current Address*

Select the date you moved into your current address

Year/Month/Day

Previous Address
(If time at current address is less then 2 years)

Street Address (Previous Address)

City (Previous Address)

State/Province (Previous Address)

Select Your Country (Previous Address)

Postal Code/Zip Code (Previous Address)

Duration at Previous Address

Select the date you moved into your previous address.

Year/Month/Day

Home/Mortgage Details

Home*

Mortgage Balance

Market Value

Mortgage/Rent Monthly Payment*

Mortgage Holder

Employment Information

Employer Name*

Employer Address*

Employee Phone Number*

Employment Status*

Occupation*

Duration of Employment*

Select the date you began your employment.

Year/Month/Day

Previous Employment Information

(If current employment is less than 2 years)

Previous Employer Name

Previous Employer Address

Previous Employer Phone Number

Previous Employment Status

Previous Occupation

Duration of Previous Employment

Select the date you began you previous employment

Year/Month/Day

Income Details

Annual Employment Income*

Other Income Source

Other Income Amount (Annually)

What is your other source of income?

Total Gross Annual Income (before tax)*

Co-Application Information

(If adding a Co-Applicant, please fill out all fields below - including Co-Applicants Proof of Income in the Upload Documents section)

Do you have a Co-Applicant?

Co-Applicants Full Name

Co-Applicant Email Address (name@example.com)

Co-Applicant Phone Number (XXX-XXX-XXXX)

Co-Applicants Date of Birth

Year-Month-Day

Co-Applicant Social Security Number

Co-Applicant Annual Income

Purchase Information

Trailer Model*

Model Year*

Estimated Purchase Price*

Down Payment Value*

Desired Finance Term (Number of months)*

Document Uploads
(Please include the Co-Applicants Proof of Income if applying with a Co-Applicant)

Government Issued ID 1 (Front)*

Government Issued ID 1 (Back)*

Government Issued ID 2 (Front)

Government Issued ID 2 (Back)

Proof of Income*

Co-Applicant Proof of Income

Proof of Other Income

Secure & Confidential USA Financing Application

Personal Information

Current Address

Previous Address(If time at current address is less then 2 years)

Home/Mortgage Details

Employment Information

Previous Employment Information

(If current employment is less than 2 years)

Income Details

Co-Application Information

Purchase Information

Document Uploads(Please include the Co-Applicants Proof of Income if applying with a Co-Applicant)

Previous Address
(If time at current address is less then 2 years)

Document Uploads
(Please include the Co-Applicants Proof of Income if applying with a Co-Applicant)