Credit Application Form

Do you own or rent your home?*

OwnRent

Rent / Mortgage Monthly Amount*

in USD

LandLord / Mortgage Holder

Mortgage Balance

in USD

Time at current residence*

Do you own or rent your home? (joint applicant)*

OwnRent

Rent / Mortgage Monthly Amount (joint applicant)*

in USD

LandLord / Mortgage Holder (joint applicant)

Mortgage Balance (joint applicant)

in USD

Time at current residence (joint applicant)*

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Time at previous residence

Previous Address (joint applicant)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Time at previous residence (joint applicant)

Bank Name

Account Type

CurrentSaving

Bank Name

Account Type

CurrentSaving

Occupation*

Company*

Salary*

(Annual Gross)

Current Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Employer Phone #*

Area CodePhone Number

Type of Employment

Time at current employer*

Occupation (joint applicant)*

Company (joint applicant)*

Salary (joint applicant)*

(Annual Gross)

Current Employer Address (joint applicant)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Employer Phone # (joint applicant)*

Area CodePhone Number

Type of Employment (joint applicant)

Time at current employer (joint applicant)*

Other Income

Other Income Frequency

Other Income Source

Additional Comments

Please include any information that you feel may help us process your application.

Previous Occupation*

Previous Company*

Time at previous employer*

Previous Occupation (joint applicant)

Previous Company (joint applicant)

Time at previous employer (joint applicant)

Additional Comments

Please include any information that you feel may help us process your application.

Please use your mouse or finger to sign below.

Permission to Obtain Consumer Credit Report
By signing this application form, I hereby give the right to obtain a consumer credit report regarding me for this application and the boat loan should my application be approved. I also release from all liability all persons, companies, and corporations supplying such information. I the indemnify "Erwin Marine Sales" the against any liability that might result from making such an investigation.

I certify that the information above is correct to the best of my knowledge. I authorize "Erwin Marine Sales" to make inquiries as necessary to verify the accuracy of the statements made by me and to determine my creditworthiness. I agree to pay the required sums and I agree to be bound by the loan agreement if my application is accepted.

Signature*

Signature (Joint Applicant)*

Please type your name below.*

Please type your name below. (joint applicant)*

Secure Finance Application

Boat / Vehicle Information

Personal Details

Housing Information

Previous Residence

Banking Information

Employer Information

Previous Employer