Boat Loans: Chesapeake Financial Services, Inc.

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Specializing in new and used Boat Loans and Boat Financing

Application

Application For Marine Financing

Please fill out and submit the application below or print and fax to 410-263-4006

Dealer Name:		Contact:		Phone:	Fax:
Applicant: SSN:			Co-Applicant: SSN:
Address:			Address:
City: State: Zip:			City: State: Zip:
Home Phone: Years At Address: Birthdate:			Home Phone: Years At Address: Birthdate:
Previous Address:			Previous Address:
City: State: Zip:			City: State: Zip:
Present Employer:			Present Employer:
Address: City: State: Zip: Phone: Years There:			Address: City: State: Zip: Phone: Years There:
Gross Monthly Salary: Position Held:			Gross Monthly Salary: Position Held:
Previous Employer: Years There:			Previous Employer: Years There:
Address: Phone: City: State: Zip:			Address: Phone: City: State: Zip:
Additional Income Source: Monthly Amount:			Additional Income Source: Monthly Amount:
Home: Own Rent Live With Relatives Paid For			Home: Own Rent Live With Relatives Paid For
Mortgage Co./Landlord:			Mortgage Co./Landlord:
Monthly Payment or Rent:			Monthly Payment or Rent:
Purchase Price	Current Balance	Market Value	Purchase Price	Current Balance	Market Value
Have you ever claimed bankruptcy or had any Federal Liens against you? Applicant Yes No / Co-Applicant Yes No
Are you a U.S. Citizen? Applicant Yes No / Co-Applicant Yes No
Boat Information
New Used Year Make Model Length I/O Outboard Inboard Gas Diesel Twin Single Horse Power Engine Make Model Year Trailer Yes No Make Length Axles
Sales Price Information
Sales Price $ Taxes $ Docs & Reg $ Warranty $ Total Sale $ Cash Down $ Loan Amount $
Term Requested - Years New Invoice Amount $ Used Book Value $
Please Read: By clicking "submit" below, or by signing this application, you promise that all the information is true and complete. You intend the seller and/or assignee to rely upon these promises in deciding to extend credit to you. You authorize a full investigation of your credit record and your employment history. You also authorize the seller or assignee to release information about your credit. (if faxing this form, please sign and date this form directly below the submit button) Please enter your email address and the best number to contact you below: * E-mail * Best Contact (Cell etc.)