Credit Application | The Boat Center

CREDIT APPLICATION

Marital Status*

Married

Unmarried

Separated

(unmarried includes single, divorced, widowed)

Applicant

Last Name or Business Name*

Date of Birth*

First Name*

Social Security Number or Tax ID #*

Current Street Number*

Current Street Name (mailing address)*

PO Box Number

City*

State*

Zip Code*

Home Phone*

Property Status*

Own

Rent

Family

Other

MTG Payment or Rent*

Time at Address*

Years

Time at Address*

Months

Employed By or Type Of Business (if business application)*

Occupation*

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.

Business Phone*

Gross Annual Income (all sources)*

Time Employed*

Years

Time Employed*

Months

Mother's Maiden Name*

Co-Applicant

Last Name or Business Name

Date of Birth

First Name

Social Security Number or Tax ID #

Current Street Number

Current Street Name (mailing address)

PO Box Number

City

State

Zip Code

Home Phone

Property Status

Own

Rent

Family

Other

MTG Payment or Rent

Time at Address

Years

Time at Address

Months

Employed By or Type Of Business (if business application)

Occupation

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.

Business Phone

Gross Annual Income (all sources)

Time Employed

Years

Time Employed

Months

Consent

By signing this credit application, I authorize The Boat Center to verify, and any third parties to release information regarding my credit rating, insurance coverage and any past or current collections or judgements. In addition, I grant The Boat Center permission to use this information to obtain credit on my behalf, and understand that The Boat Center may share this information with more than one Financial Institution. I acknowledge that the information given by me and being submitted by The Boat Center, on my behalf is true and complete.

Sign and Date

Applicant Signature*

Date*

Co-applicant Signature

Date

RAMSEY, MN

763-450-0400

CHIPPEWA FALLS, WI

715-833-0060

Applicant

Co-Applicant

Consent

Sign and Date