Credit Application

Boat Information

What boat are you interested in? (stock # or year/make/model) *
Select a Location *
Will you be trading in your current boat? *Yes No
Year
Make
Model
Balance Owed?
Cash Down

Contact Information

First Name *
Middle Name
Last Name *
Email *
Date of Birth
Social Security #
Driver`s License #
Present Address
City
State
Zip Code
Countries
Years There
Home Phone
Previous Address
Previous City
Previous State
Previous Zip
How Long There
Marital Status
Number of Dependants

Employment Information

Present Employer
Position
Years There
Gross Income
Work Phone
Employer Street Address
City
State
Zip Code
Supervisor`s Name:

Previous Employer

Previous Employer
Address
Job Title:
Years There

Additional Income

Other Income Source
Other Income Amount

Housing Information

Home Information
Mortgage/Rent Payment:
Balance of Mortgage
Mortgage Holder or Landlord
Value of Home
Savings Account Bank
Checking Account Bank
Obligations: Car Loans, Charge Accounts, etc
Name of Creditor, Account #, Describe Debt, Date Opened, Balance, and Payment.
Repeat as needed.

Co-Applicant Information

First Name
Middle Name
Last Name
Date of Birth
Social Security #
Driver`s License
Present Employer
Address
City
State
Phone Number
Position
Years There
Gross Income
Previous Employer
Address
Years at Job
Phone

Nearest Relative

Name
Address
Home Phone
Relationship

Bankruptcy?

Have you ever declared bankrupcy?
When did you declare Bankruptcy?