Application for Financing
Please fill out the following form as completely as possible
Purchase Information
When do you plan to purchase?Choose30 Days or less31 to 60 Days61 to 90 Days91 days or more Are you considering a specific boat? Please enter here How much of a deposit would you like to make? $ How much would you like to finance? $ What do you consider and affordable monthly payment? $ Please select your desired term Choose48 Months60 Months84 Months120 Months144 Months180 Months240 Months Do you have a boat to trade in? ChooseYesNo If yes, what kind? & what is your expected value? $
First Name Middle Initial Last Name Date of Birth Social Security Number Current Address City State Zip County Home Telephone
email
Years at this address Drivers License Number
Previous Address (if current is less than 3 years) City State Zip
Employer & Financial Information
Current Employer Address City State Zip Telephone Years Position Gross Salary / Income $Per Choose Month Year Other Sources of Income (Applicant need not disclose income form alimony, child support of maintenance) Per Choose Month Year
Previous Employer or Education (if current is less than 3 years) Address City State Zip Telephone Years
Name of Mortgage Holder or Landlord Own Rent Address City State Zip Rent or Mortgage Payment $
Have you ever declared Bankruptcy? Choose Yes No
Do you make Child Support or Alimony Payments? Choose Yes No If Yes, Amount? $per Choose Month Year
Are there any outstanding liens or judgments against you? Choose Yes No Please describe:
Joint Applicant and/or Co-Signer Information
Relationship to Buyer (Spouses have the option to fill out only the 4 items marked with a star.)
*First Name Middle Initial Last Name Date of Birth Social Security Number Drivers License Number Current Address City State Zip County Home Telephone Years at this address Drivers License Number Gross Salary / Income $Per Choose Month Year Previous Address (if current is less than 3 years) City State Zip
By submitting this form I (we) certify that the above information is complete and accurate. I (we) authorize an investigation of my (our) credit and employment history, and the release of any related information. I (we) authorize you to exchange credit information with others in connection with this application. I (we) have no outstanding obligations except as shown in this application, and no undisclosed law suits or judgments are entered against me (us).
I (we) agree with the above statement Yes No
Please type your name Today's Date
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