Chesapeake Financial Services

  

   BOAT AND RV LOANS FOR NEW USED PURCHASES. REFINANCING FOR LOANS OVER $100,000.00

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Application For Marine Financing

Please fill out and submit the application below

Purchase Information
Purchased From:
Contact:
Phone:
Fax:
Applicant Contact Information Co-Applicant Contact Information
Applicant:
SSN:
Co-Applicant:
SSN:
Address:  Address:  Relationship: 
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: 
Applicant Employment Co-Applicant Employment
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: 
Applicant Additional Income Co-Applicant Additional Income
Additional Income Source:
Monthly Amount: 
Additional Income Source:
Monthly Amount: 

Other Income: 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.

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  Boat  Motor Home  Trailer/5W  Camper


BOATS ONLY

Year 
Make 
Model 
Size 

I/O   Outboard   Inboard  

Gas   Diesel  

Twin   Single

Horse Power 

Engine Make 

Model  Year 

Trailer   Yes  No  
REC VEHICLES ONLY

Year 
Make 
Model 
Size 

Gas   Diesel  

Engine Make 


LOAN TERM REQUESTED
Years


Dealer Cost New $

Sales Price Information
Sales Price $ Taxes $ Docs, Reg, Fees $ Warranty/Gap $
Total Sale $

Cash Down $ Trade Allowance $ Trade Payoff $
Payoff Lender   Net Trade $
Loan Amount $


Please Read:

By clicking "submit" below, or by signing this application, you promise that all the information is true and complete. You intend that the seller, lender and or assignee may rely upon these promises in deciding to extend credit to you. You also authorize a full investigation of your credit record and your employment history. You also authorize the seller, lender and or assignee to release information about your credit. It is understood that the co applicant is aware that he/she is applying for credit and that they will be jointly and or solely liable for the debt. (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.)




If you experience problems submitting your application email the Webmaster.