Finance Application

Personal Information
First Name:
MI:
Last Name:
Email Address:
Social Sec. Number:
Date of Birth:
Address:
City:
State:
Zip:
Number of Years at this address:
If less than 5 Years, please list previous address:
Phone (home):
Phone (work):
Employment Income
Employer:
Occupation:
Address:
City:
State:
Number of Years at this job:
If less than 5 Years, please list previous employer and employer's address:
Salary (Gross, Yearly):
Other Income:
Credit
I Bank With:

Select One of the Following:  
I Rent:  
  with (landlord) Rental Amount:
     
I Own My Home:  
  with (mortgagee) Mortgage Amount:


Joint Application
Co-Applicant Information
Last Name:
First Name:
Middle Initial:
Social Sec. Number:
Date of Birth:
Address:
City:
State:
Zip:
Co-Applicant Employment- Income Information
Employer:
Occupation:
Address:
City:
State:
Number of Years at this job:
If less than 5 Years, please list previous employer and employer's address:
Salary (Gross, Yearly):
 
How much will you spend on your next boat: 
Expected trade value of your present boat (If no trade write 0): 
Additional cash or down payment: 
How many years (term) will you finance: 


By submitting this application (clicking the submit button below) to Channel Marine and it's boat financing partners, I hereby certify that all statements made by me on this application are true and complete, and I authorize Channel Marine and it's boat financing partners to make any credit inquires they deem necessary in processing this application, or in the collection of any credit extended. Any credit investigation, and any information furnished Channel Marine and it's boat financing partners, by any person, organization or consumer reporting agency is here by authorized, and whether credit is extended or not, this application is to remain Channel Marine's property. Any willful misrepresentation on this statement could result in fine or imprisonment under provisions of the U.S. Criminal Code.

(click the submit button below or print and fax the above application)