Island Marine Center Credit Application
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Please note that fields labeled (*) are required!
I / We are applying for this credit *
The purpose of this credit is for: *
Amount of financing you are requesting .00 *
Your email address *
   
BOAT DATA
BOAT YOU ARE BUYING OR FINANCING:
Intended use:
Type of boat/vessel:
Year of manufacture:
Boat manufacturer:
Boat model:
L/O/A: (length in feet)
Material construction:
Engine power:
Number of engines: - Total rated hp
Selling price: .00
Down payment: .00 (CASH) and/or
.00 (TRADE-IN)
Requested term of loan: years
BOAT YOU ARE TRADING-IN:
Year of manufacture:
Boat manufacturer:
Boat model:
L/O/A: (length in feet)
Material construction:
Engine power
Number of engines: - Total rated hp
 
Previous boat financed by: 
Address:
City, State: ,
Zip code:
Telephone number:
APPLICANT
Name: (full) *
Social Security Number:  *
Date of birth: *
U.S. citizen?
 
Address: (current) *
City, State: , *
Zip code: *
Own or Rent?
How long:
Telephone number: *
Number of dependents:
 
Name of nearest relative not living with you: (full)
 
Telephone number:
Name of mortgager or landlord: (full)
Mortgager Address:
Mortgager City, State: ,
Mortgager Zip code:
Mortgager Telephone number:
Purchase price: .00
Mortgage balance: .00
Monthly payment .00
 
Previous address (if at present address less than two years)
Address:
City, State: ,
Zip code:
EMPLOYMENT DATA
Present Employer:
Employers Address:
Employers City, State: ,
Employers Zip code:
Employers Telephone number:
 
Time on job: 
Position held:
Salary:  .00 per
Previous Employer:
Previous Address:
Previous City, State: ,
Previous Zip code:
Previous Telephone number:
Time on Job:
 
Other sources of income (describe)
Amount of other income:  .00 per
Note: Alimony, Child support or separate maintenance income need not be revealed if you do not choose to rely upon it as a basis for repaying this obligation.
CO-APPLICANT (IF ANY)
Name: (full)
Social Security Number:
Date of birth:
U.S. Citizen?
 
Address
City, State: ,
Zip code:
Own or Rent?
How long:
Telephone Number:
Number of dependents:
Present employer:
Employers Address:
Employers City, State: ,
Employers Zip code:
Employers Telephone number:
 
Time on job:
Position held:
Salary: .00 per
 
Other sources of income (describe)
Amount of other income: .00 per
PERSONAL FINANCIAL STATEMENT
I / We make the following statement of all my/our assets and liabilities at the close of business on this day:
ASSETS LIABILITIES / NET WORTH
Cash on hand $ Notes Payable to Bank,
Financing Co., Chg. Accts.

$
Cash in bank
 $ $
$ $
Notes and accounts receivable
 $ $
$ Loans against Life Insurance $
Life Insurance-Name-Cash Surrender Value
 $ Real Estate Mortgage Payable $
Marketable Securities (Use enclosure area below to list)
 $ $
Securities-Not Readily Marketable (Use enclosure area below to list)
 $ Brokers Margin Accounts $
Real Estate (location)
 $ Other Liabilities (itemize)
 $
$ $
Automobile (s) $ $
Boat (s) $ $
Other (itemize) $ $
$ $
TOTAL ASSETS $ TOTAL LIABILITIES $
    Net Worth $
    Total Liabilities & Net Worth $

I/We authorize Island Marine Center. or its assignees to make whatever credit inquiries it deems necessary in conjunction with any credit requests made to Island Marine Center. I/WE authorize and instruct any financial institution, any person or consumer reporting agency to compile and furnish the above or its assignees with any information it may have or obtain in response to such credit inquiries. Each undersigned understands that you are relying on the information provided herein (including the designation made as to the ownership of property) in deciding to grant or continue credit. Each undersigned represents and warrants that the information provided is true and complete and that you may consider this statement as continuing to be true until a written notice of change is given to you by the undersigned. You are authorized to make all inquires you deem necessary to verify the accuracy of the statements made herein, and to determine my/our creditworthiness.
This Privacy Notice describes some of our policies and procedures with respect to the nonpublic personal information we may collect in connection with your financial transaction with Island Marine Center.
We collect nonpublic information about you from the following sources:
• Information we receive from you on applications or other forms
• Information about your transactions with us or others
• Information we receive from a customer-reporting agency
We do not disclose any nonpublic information about you to anyone, except as permitted by law. If you decide to payoff your credit contract or if you otherwise cease to be a customer of ours, we will adhere to the privacy policies and practices described in this notice.
Signature of Applicant
(full name):
Signature of Co-Applicant
(full name):
(if applicable)
Additional Comments: