Application for Financing

Name

First Name

Last Name

Middle Initial

Date of Birth

Social Security Number

Drivers License Number

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years at this address

Previous Address (if current is less than 3 years)

When do you plan to purchase?

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

Do you have a boat to trade in?

If yes, what kind?

& what is your expected value?

Current Employer

Address

City, State, Zip

Telephone

Years

Position

Gross Salary / Income

Other Sources of Income (Applicant need not disclose income form alimony, child support of maintenance)

Previous Employer or Education (if current is less than 3 years)

Address

City, State, Zip

Telephone

Years

Name of Mortgage Holder or Landlord

Own or Rent?

Address

City, State, Zip

Rent or Mortgage Payment $

Have you ever declared Bankruptcy?

Do you make Child Support or Alimony Payments?

If Yes, Amount?

Are there any outstanding liens or judgments against you? If yes, please describe

Joint Applicant and/or Co-Signer Information: Name

Relationship to Buyer

First Name

Middle Initial

Last Name

Date of Birth

Social Security Number

Drivers License Number

Current Address

City, State, Zip

Home Telephone

Years at this address

Gross Salary / Income

Previous Address (if current is less than 3 years)

Current Employer

Address

City, State, Zip

Telephone

Years

Position

Gross Salary / Income

Other Sources of Income (Applicant need not disclose income form alimony, child support of maintenance)

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

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