Boat Loans, RV Loans, Marine Lending, Marine Insurance

How would you like to apply?(*)

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Marine Individual

Marine Joint

RV Individual

RV Joint

Applicant

Name(*)

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Middle Initial

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Last Name(*)

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E-mail(*)

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Date of Birth(*)

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Street Address(*)

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US Citizen(*)

Yes

No

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City(*)

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State

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Zip

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Years at Residence

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If you have been in your place of residence for LESS THAN TWO YEARS, please provide your previous address:

Street Address

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City

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State

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Zip

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Work Phone(*)

please use 123-456-7890 format

Primary Phone(*)

please use 123-456-7890 format

Retired(*)

Yes

No

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Retired Date(*)

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Mortgage Holder(*)

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Mortgage / Rent Payment(*)

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Employer Name(*)

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Position(*)

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Annual Salary(*)

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Length of Emp.(*)

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Other Income / Annually

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Source

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Previous employment required if less than 2yrs at current employer

Previous Employment

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Previous Position

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Annual Salary

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Prev. Length of Employ

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Co-Applicant
ACKNOWLEDGMENT BY CO-APPLICANT: By providing co-applicant information, you confirm your intent to apply for joint credit and be jointly liable for the debt.

Relationship to Applicant(*)

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Name(*)

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Middle Initial

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Last Name(*)

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Date of Birth(*)

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Street Address(*)

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City(*)

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State(*)

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Zip(*)

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Employment(*)

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Annual Salary(*)

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Position(*)

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Length of Emp.(*)

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U.S. Citizen(*)

Yes

No

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Home Number(*)

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Cell Number(*)

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Retired(*)

Yes

No

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Email(*)

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Work Number(*)

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Retired Date(*)

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Previous Employment

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Previous Position

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Previous Annual Salary

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Prev. Length of Employ

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Financial Information

Assets

Cash on hand and in banks

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Stocks, Bonds, Mutual Funds

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401K, IRA, Retirment

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Real Estate Value - Primary Residence

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Real Estate Value - Second Home

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Real Estate Value - Rental Property

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Current Boat Value

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Other Assets

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Total

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Liabilities

Credit Cards

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Auto Loans

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Other Installment

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Primary Residence Loan

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Secon Home Loan

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Rental Property Loan

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Current Boat Loan

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Total

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Net Worth (Assets minus Liabilities)

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Boat Information

RV Information

Year(*)

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Make(*)

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Model(*)

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Length(*)

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Engine Mfg.(*)

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Number of Engines(*)

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HP Each(*)

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Year(*)

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Purchase Or Refinance(*)

Purchase

Refinance

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Make(*)

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New or Used

New

Used

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Model(*)

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Chassis

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Length(*)

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Mileage

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# of Slide Outs

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Engine Make

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Use

Pleasure

Principle Dwelling

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Type

Moto Home

5th Wheel

Travel Trailer

Other

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Fuel

Gas

Diesel

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HP

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Purchase

Refinance

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Purchase Price(*)

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Tax(*)

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Total(*)

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Cash Downpayment(*)

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Down Payment

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Loan Request(*)

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Term(*)

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Mooring Location

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Would you like a yacht insurance quote?

Yes

No

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Current/Previous Boat Description

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Years Boating Experience(*)

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How will the boat be owned?(*)

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Dealer/Broker of Private Party Purchase?(*)

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How did you find out about us?

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Other or Specify

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Additional Comments?

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I/we acknowledge that I/we have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I/we understand that, if the requested credit is granted, you may report information concerning the credit to consumer reporting agencies and to others. I/we affirm that my/our answers are complete and true and authorize you to verify or obtain any information concerning them. Upon your request, I/we further authorize any firm or individual from whom I/we may have obtained or requested credit, to furnish you with the details of that transaction. I/we also agree to provide current financial information upon request, in a form acceptable to you.

Signature of Applicant & Date (please type your last name & date in the box)(*)

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Signature of Co-Applicant & Date (please type your last name & date in the box)(*)

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If you wish to submit this information on-line, click the "submit" button at the bottom of the page. If you prefer to fax this form, click print and fax it to 410-268-3755.

Note to applicant: This prequalification is based purely on information provided to us by you. Verification of this information by us and additional information consisting of your last two years federal tax returns including schedules A-E may be required in order to issue an actual loan commitment. Please fax them to: 410-268-3755.

PATRIOT ACT CUSTOMER IDENTIFICATION

The U.S. government, in order to fight the funding of terrorism and money laundering, has issued a law requiring all financial institutions to obtain, verify and record information that identifies each person who opens an account. In addition to the information on our application, please also provide your drivers license number, issue and expiration date, and the state that it was issued. We thank you for your cooperation.

Applicant Info

Primary Borrower's Name(*)

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Licence Number

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State

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Co-Applicant Info

Co-borrower's Name(*)

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Licence Number(*)

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State(*)

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Signature(*)

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Call Us: 800.525.0554

RV RATES AS LOW AS 6.99%

Credit Applications

PATRIOT ACT CUSTOMER IDENTIFICATION