Application for Credit

 

If you are applying for individual credit in your own name and are relying on your own income or assets and not the income of another person as the basis repayment of the credit requested, complete Section A.

If this is an application for your joint credit with another person, complete all Sections providing information in Section B about the co-applicant.

 

A Applicant Information    
First Name A value is required.Exceeded maximum number of characters.Minimum number of characters not met.  
Last Name A value is required.Minimum number of characters not met.Exceeded maximum number of characters.  
MI  
Social Security # A value is required.Invalid format.  
Date of Birth  
Home Phone A value is required.Invalid entryExceeded maximum number of characters.  
Email Address A value is required.Invalid format.  
     
Current Street Address    
Address  
   
City  
State  
Zip Code  
How Long at this location  
Buy / Rent / Own / Other  
Current Employer    
Employer  
City  
State  
Zip Code  
Phone #  
Occupation  
How Long?  
Gross Annual Income  
     
Have you ever had any property repossessed?
 
Do you have any lawsuits pending against you?
 
Have you ever filed for bankruptcy?
 
U.S. Citizen?  
 
     
Alimony. child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Monthly Income

Source

  
     
If this is an application for your joint credit with another person, complete this Section B about the co-applicant
( Otherwise skip down to section C )		    
B Co-Applicant Information    
First Name  
Last Name  
MI  
Social Security # Invalid format.  
Date of Birth  
Home Phone  
Co-Applicant's Current Street Address    
Address  
   
City  
State  
Zip Code  
How Long at this location  
Buy / Rent / Own / Other  
Co-Applicant's Current Employer    
Employer  
City  
State  
Zip Code  
Phone #  
Occupation  
How Long?  
Gross Annual Income  
     
Have you ever had any property repossessed?
 
Do you have any lawsuits pending against you?
 
Have you ever filed for bankruptcy?
 
U.S. Citizen?  
 
     
Alimony. child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Monthly Income

Source

  
     
C Asset and Liability Statement    

DESCRIPTION

CASH OR
MARKET VALUE

  
Checking / Savings  
Stocks & Bonds (Publicly traded & Non retirement)  
IRA accounts / Vested Interest in Retirement fund  
Notes / Accounts Receivable  
Real Estate Owned  
Net worth of Business owned  
Boat / RV owned ( Make and Year)  
Other Assets  
Total Assets ( A )  
     
CREDITOR'S NAME MONTHLY
PAYMENT		 UNPAID
BALANCE
Notes payable-Secured
Notes payable-Secured
Notes payable-Secured
Notes payable-Unsecured
Accounts payable (including Credit Card Debt)
Mortgage / Rent
Other Real Estate Loans
Other ( Including Guaranteed Loans)
Total Liabilities ( B )
Net worth ( A minus B )  

By checking below, applicant(s): 1. Certifies that the above information is true and complete as of this date. 2. Agrees that this application is the property of Alabama Boating centers and need not be returned to the applicant(s). 3. Authorizes Alabama Boating Centers to verify the accuracy and completeness of all information shown above from any source Alabama Boating Center chooses, including obtaining credit bureau reports. This authorization extends to the applicant's spouse if applicant resides in a community state. 4. Authorizes Alabama Boating Center to answer questions from others about its credit experience with the applicant(s), furnish such information to credit bureaus, and share foregoing information consistent with its privacy policy. 5. Promises the applicant has revealed any pending lawsuits or unpaid judgments. The applicant intends that Alabama Boating Center, will rely upon these promises in deciding whether to extend credit. 6. The applicant authorizes a full investigation of his/her credit report and employment history by Alabama Boating Center. 7. The applicant authorizes the dealer to request a consumer credit report in connection with his/ her application.

  I have read and agree to these terms Authorization Required.  
  Please type name as signature : Signature required.Minimum number of characters not met.Exceeded maximum number of characters.  
  Date : 21-Nov-08