APPLY FOR FINANCING NEW & USED BOATS OUTBOARD MOTORS APPLY FOR FINANCING Please fill out the form below to apply for financing Equipment Interested In * Year, Make, Model Personal Information Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Number of Years At Current Residence Birthdate * MM DD YYYY Marital Status * Single Married Individual or Joint Application * Individual Joint Joint Applicant Name If applicable Joint Applicant Relationship If applicable Employment Information Are You Self Employed? * Yes No Gross Monthly Income (pre-tax) * Employer Name * Occupation * Employer Phone * Country (###) ### #### Employer Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Previous Employer Name * Previous Occupation * Previous Employer Phone * Country (###) ### #### Previous Employer Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Financing Information Cash Down Payment * Do you have a checking account? * Yes No Do you have a savings account? Yes No Do you have additional sources of income? * Yes No Additional Income Source * if no additional sources, type "none" Amount Monthly * if none, type "none" Residential Status * Own Rent Military Other Mortgage Lender * Monthly Mortgage Payment * Other Total Monthly Loan Payments * Car loans, credit cards, etc. Have you been the subject or are you currently the subject of bankruptcy proceedings? * No Yes Have you ever had a vehicle repossessed? * Yes No Do you have any judgments or liens against you? * Yes No Reference Refernce Full Name * Reference Relationship to Applicant * Reference's Phone * Country (###) ### #### Reference's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you for your submission. Please allow ample time for your financing application to process. Someone will contact you shortly.
