|
|
|
|
NAME
(First, Middle, Last) |
Date
of Birth |
Social
Security Number |
Dependents
No. |
|
CURRENT
ADDRESS (Street, City, State, Zip Code) |
Telephone
Number
( ) |
|
Time
at address
______Yrs._______Mths |
( )
Own ( ) Rent ( ) Live w/ Parents/Relative ( ) Other - Explain |
Mortgage
or Rent Payment $ |
|
| PREVIOUS
ADDRESS (Street, City, State, Zip Code) If less than
2 years |
Number |
Employer's
Name and Address |
Occupation |
Time
with Employer
_______Yrs_______Mths |
Business
Phone
( ) |
|
|
Monthly
Gross Income $ |
Other
Monthly Income
$ Source |
| Have
you ever had any property repossessed? ( )
yes ( ) no |
Do
you have any law suits pending against you? ( )
yes ( ) no |
Have
you ever filed for Bankruptcy? ( )
yes ( ) no |
Military
Reserve? ( ) yes ( ) no
Status: ( ) Active ( ) Inactive |
|
|
|
|
|
Market
Value |
Amount
Owed
|
Payment/Mo |
(Type
of Property and Address) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NAME
(First, Middle, Last) |
Date
of Birth |
Social
Security Number |
Home
Phone Number
( ) |
|
|
ADDRESS (Street,
City, State, Zip Code) |
Time
at address ______Yrs._______Mths |
Monthly
Gross Income
$ |
|
|
Name
and Address of Employer |
Occupation |
Time
with Employer _______Yrs_______Mths |
Business
Phone
( ) |
|
|
DESCRIPTION
OF GOODS BEING PURCHASED |
ITEM |
New
or Used |
YEAR |
MANUFACTURER |
MODEL |
BOAT |
|
|
|
|
MOTOR |
|
|
|
|
TRAILER |
|
|
|
|
TRADE-IN
INFORMATION
|
|
Year
|
Manufacturer
|
Model
|
Type
|
Trade
Allowance
$
|
AMT.Owed
$
|
Net
Amount
$
|
FINANCE
TERMS REQUESTED
|
TTL
Sales Price
$
|
Sales
Tax
$
|
Trade
Amt
$
|
Cash
Down
$
|
Fees
$
|
Amt
Financed
$
|
Rate
%
|
Terms
|
Payment
$
|
I
hereby affirm that the foregoing information is true
and correct and made for the purpose of obtaining credit.
I authorize you to obtain additional information from
each source(s) and each source is hereby authorized
to provide you with such information. I also grant
you permission to obtain a credit report on me for
all legitimate purposes in connection with this transaction.
Such purposes include assisting in making a credit
decision, reviewing my account and assisting in taking
collection activity. I authorize you to share all the
foregoing information with the Lender and it's subsidiaries.
This application, in any event, shall be and remain
the property of the Lender, and is subject to the completion
and acceptance of additional credit application documents
proper to any approved extension of credit. |
Applicants
Signature
and Date |
Co-Applicants
Signature
and Date |
|