BoatUS Boat Finance Printable Application
Boat Purchase Information
Is Seller a:

Dealer Broker Individual

New/Used: New Used Refinance(same terms): Yes No
*Purchase Price: $
(no commas)		 Are you purchasing a trailer? Yes No
Do NOT include Sales Tax or Trailer in PURCHASE PRICE
If Yes, trailer price:
Sales Tax:
Down Payment: Trade-In:$
*Loan Amount:$ Term:
*Purchase Date: *Year:
*Manufacturer: *Model Name:
*Length: *Model Number:
*Eng. Manufacturer: Hull Type: Fbrgl.: Wood: Metal:
Inboard/Outboard: I/B O/B IB/OB *Eng. Year:
Horsepower: *# of Engines: Single Twin
Check if Applies Multihull
Houseboat
Hi-Performance		 *Gas Type: Gas Diesel
Trade-In Detail
Year: Manufacturer:
Model: Length:
Hull Type: Fbrgl. Wood Metal Gas Type: Gas Diesel
# of Engines: Single Twin Horsepower:
Eng. Manufacturer:
Applicant's Information
*First Name: MI: *Last Name:
*SSN #: *Birth Date:
*U.S. Citizen: Yes No *City:
*Street Address: *Zip:
*State: Own/Rent: Own Rent
Email: Years:
$ Monthly: Dependents:
Phone:    
Applicant's Employer
*Name:
*Street Address: *Employer's Business:
Phone: *Years There:
*Gross Salary $/month: *Position:
Other Income $/month: Source of Other Income:
Previous Employer: Years There:
Co-Applicant's Information
First Name: MI: Last Name:
SSN #: Birth Date:
U.S. Citizen: Yes No Residence:
Street Address: City:
State: Zip:
Own/Rent: Own Rent $ Monthly:
Years: Phone:
Dependents:  
Co-Applicant's Employer
Name:
Street Address: Employer's Business:
Phone: Years There:
Gross Salary $/month: Position:
Other Income $/month: Source of Other Income:
Previous Employer: Years There:

Financial Statement
(Application CAN NOT be processed without Financial Statement)
Assets Value How Held
Cash on Hand & Bank
 Joint Individual
Money Market Joint Individual
CD/Savings Joint Individual
Publicly Traded Stock/Bonds/Funds Joint Individual
Applicant's Real Estate(market value)
 Joint Individual
Co-applicant's Real Estate(market value)
 Joint Individual
Other Real Estate(market value)
 Joint Individual
Current Boat(s) Joint Individual
Auto(s) Joint Individual
401(k) Joint Individual
IRA Joint Individual
Annuity/Pension Joint Individual
Motor Home/Coach
 Joint Individual
*TOTAL ASSETS Joint Individual
Liabilities Balance (est.) Payment
Applicant's Home Mortgage
Co-applicant's Home Mortgage
Other Real Estate Mortgage(s)
Rent Payment  $ 0.00
Home Equity Loan(s)
Auto Loan(s)
Auto Lease
Current Boat Loan
Other Boat Loan(combined)
All Credit Cards(include minimum payment only)
Alimony/Child Support
Student Loan
Motor Home/Coach
*TOTAL LIABILITIES
NET WORTH
Subtract Liabilities from Assets		  

Has either applicant ever been adjudged a bankrupt, or have any judgements, repossessions, garnishments, or other legal proceedings ever been filed against you?
 Yes No

If yes, under what names?

I/We authorize BoatUS and/or Lending Institution to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on this application. I/We authorize and instruct any person, including but not limited to all local, state, or federal government agencies, or consumer reporting agency to complete and furnish to the Lending Institution any information that it may have or obtain in response to such credit inquiries and agree that such information, along with this application, shall remain the Lending Institution's property whether or not credit is extended. All information set forth in this application is declared to be a true representation of the facts made for the purpose of obtaining the credit requested, and any willful misrepresentation on this application could result in criminal action.

Pursuant to requirement of law, including the USA PATRIOT Act, lender’s must obtain information and take necessary actions to verify your identity.

If you prefer not to apply online, you can fill out, print this application and fax it to 703-461-2853. Thank you for submitting your application. If you have not heard from us within 24 hours, during regular business hours, contact our office by email or phone, 703-236-7097.

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