RTO Simple Trailer Rent to Own Application
Return by hitting submit at the bottom of the form or emailing agilland@rtosimple.com 
Sign in to Google to save your progress. Learn more
Full Legal Name *
Date of Birth *You must be 21 years old or older:   *
Social Security Number:  *
Driver's License #:   *
Issued by what state?  *
Is this ID restricted or a State ID Only?    *
Required
Current Address: 
Phone NUmber:  *
Email Address *
How Long have you lived at this address? If less than 10 years, provide the last three address below (required) *
Dealer Lot Name *
Dealer Lot Name *
Employment Information:   Employer Name, Address and Phone Number:   (If you are self employed, what is the name of your business, type of business, how long have you owned it (filed taxes) and what is the website?  *
Supervisor's Name and Phone Number:  *
Position and Length of Employment?  *
Employer Address:   *
Previous Employer, City and State, Occupation (3, with dates if current employer is less than 3 consecutive years): *
Monthly Take Home Pay:  *
Do you have any garnishments:  If yes, amounts?  *
Other Obligations:   Support Payments, Judgements?   Amounts of each *
Have you entered into or filed bankruptcy?   If so when? 
Are you about to file bankruptcy in the next 3-6 months? 
 *
Car Insurance Policy Company and Phone #:  (Proof is required at time of signing) *
Expiration Date:   *
MM
/
DD
/
YYYY
Vehicle Registration #:  Valid Registration is required at time of signing:  *
Do you have accounts with other finance companies?  If yes, Dates and Company Names:   *
Rental/Mortgage:  Do you own or rent?  *
Rent or Mortgage Monthly Payment? *
If zero, when did you pay off your mortgage?   If you do not pay rent, why?  *
Landlord's Name and Contract Info:  *
How long have you lived at this address?  *
Previous Address (3, with dates if current address is less than 10 years):  *
Do you have a bank account?   If yes, Name of Bank and location of branch you use: *
Business References (3):  Name, phone, relationship and City /State.  Someone you have paid on a regular basis within the last year *
Closest Living Relatives to you with addresses (3):  *
What size trailer are you interested in renting?  *
Intended Use:  * If you are tax exempt, a certificate must be provided to avoid tax at time of signing *
Are you interested in automatic payments?  *
How did you hear about us?  *
Consent:  I give consent to receive emails, calls or texts regarding my rental application.   All answers provided are true and accurate.   
I am required to provide the following documentation to the dealer at the time of contract signing:   
* A valid driver's license with Current * Address
* Vehicle registration with *matching address to license
* Proof of vehicle insurance with *matching address to license
* A separate proof of residency with *matching address to license (example:  Utility Bill)
* A state approved sales tax exemption certificate if you do not want to pay sales tax

IMPORTANT:   * All required documents must be your current and display matching addresses.   If any document is expired, incomplete or the addresses do not match, your pre-approval will be considered void and the rental process will not proceed until all valid documentations are submitted.

I understand that I must also remit the Contract Processing Fee at the time of contract signing and understand:   This fee is not a payment toward the trailer or contract balance, it is non-refundable, and all funds must clear before I may take possession of the trailer.  All the terms and conditions of the contract prevail and late fees, NSF Fees or Court Costs will be my responsibility if I am late or default on payments.   I understand this is not a short term rental and 90 days same as cash is not currently offered.  I understand that all invoices and communication will be by email and payments will be completed by the personal portal provided, calling into the office to make a payment by phone or by mail.   

Signature:                                              Date:   
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of RTO Simple.

Does this form look suspicious? Report

Google Forms