Loan Application

Dealer Name
AIRPORT MARINE
Contact Name
Ken Hollis
Telephone Number
(205) 664-0407
Pick a Sales Person:

APPLICANT INFORMATION

Applicant Name
Date of Birth
Social Security Number
Number of Dependents
Street Address
City
State
Zip
Telephone Number
Living Arrangement
   
Time at address: Months / Years
Mortgage or Rent Payment $
Name and Address of Current Employer
Position:
Time with Employer: Months/Years
Business Phone
Monthly Gross Income $
Other Monthly Income $
Explain Source

CO-APPLICANT INFORMATION

Co-Applicant's Name
Date of Birth
Social Security Number
Home Phone
Street Address
City
State
Zip
Time at address: Months / Years
Monthly Gross Income
Name and Address of Current Employer
Position:
Time with Employer: Months / Years
Business Phone

DESCRIPTION OF GOODS BEING PURCHASED

ITEMNew or UsedYEARMANUFACTURERMODEL
BOAT
MOTOR
TRAILER
Sale Price $Down Payment if any $
YEARMANUFACTURERMODEL
TRADE-IN

I hereby affirm that the foregoing information is true and correct and made for the purpose of obtaining credit. I authorize you to obtain additional information from each source(s) and each source is hereby authorized to provide you with such information. I also grant you permission to obtain a credit report on me for all legitimate purposes in connection with this transaction. Such purposes include assisting in making a credit decision, reviewing my account and assisting in taking collection activity. I authorize you to share all the foregoing information with the Lender and it's subsidiaries. This application, in any event, shall be and remain the property of the Lender, and is subject to the completion and acceptance of additional credit application documents proper to any approved extension of credit.

I Agree
Applicants Name
E-Mail Address
I Agree
Co-Applicants Name