Application
Individual
Joint
Co-Maker
Married
Unmarried
Seperated
US-Citizen:
Yes
No
First Name
Middle Name
Last Name
Birthday
Social Security #
EMAIL ADDRESS
Street Address
City
State
Zip
How Long at Current Address
Y
M
Home Phone
Previous Street Address
(If less then two years at current)
City
State
Zip
Time There
Y
M
Rent
Own
Monthly Payment
$
Landlord or Mortage Holder
Balance
$
Value
$
Employed by
Position / Title
Gross Monthly Income
$
Time at a Current Employer
Y
M
Street Address
City
State
Zip
Business Phone
Previous Employement
Time There
Y
M
Street Address
City
State
Zip
Income from alimony, child support or separate maintenance payments need not be revealed if the applicant does not choose to have it considered as a basis for repaying this loan.
Other Income per month
$
Source
Nearest Relative Name
Address
City
State
Zip
Time There
Y
M
If you reside or rely on property located in a community property state (AZ,CA,ID,LA,NM,NV,TX,WA), please provide your spouse's name and social security number.
Name
Social Security #
If married and a resident of a community property state (AZ, CA, ID, LA, NM, NV, TX, WA), list all debts, accounts and obligations of both spouses, unless you indicate otherwise, obligations of both spouses are considered community liabilities.
Have you previously owned a boat?
Yes
No
Previous Boat
Length
Time
CO-APPLICANT
Married
Unmarried
Seperated
US-Citizen:
Yes
No
First Name
Middle Name
Last Name
Birthday
Social Security #
Street Address
City
State
Zip
How Long at Current Address
Y
M
Home Phone
Employed by
Position / Title
Gross Monthly Income
$
Time at a Current Employer
Y
M
Street Address
City
State
Zip
Business Phone
Previous Employement
Time There
Y
M
Street Address
City
State
Zip
New
Used
Refinance
Year
Make
Model
Length
Engine Manufacturer
Engine(s) Horsepower
Sales Price
Trade Allowance
Sales Tax
Trade Payoff
Cash Down
Amount Requested
Term Requested
Engine
Gas
Diesel
Twin
Single
Options
Air
Generator
Radar
Trailer
Awning
Hydraulic Jacks
Electronics valued at $
Trade-In (Year, Make, Model, Length)
Engine Manufacturer
Current Lender Name
Current Lender Account Number
Would you be interested in an extended warranty on your vessel/vehicle?
Yes
No
FOR MAINE RESIDENTS: Consumer reports (credit reports) may be obtained in connection with your loan application. (1) If you request, you will be informed whether or not consumer reports were obtained. (2) If reports were obtained, if you request, you will be informed of the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports.
FOR NEW YORK RESIDENTS: Upon request, the applicant(s) will be informed whether or not a consumer report was requested, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. I/We have the right to ask you for the name and address of the credit bureau which gave you the credit history.
FOR OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
FOR WISCONSIN RESIDENTS – NOTICE TO MARRIED APPLICANTS: No provision of any marital property agreement, unilateral statement under §.766.59, Wis. Stats., or court decree under §., adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted or an open-end credit plan is entered into, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision.
I/We affirm that all the information in this credit application is complete and true, whether completed by me/us or by you at my/our direction. I/We authorize you to obtain from a third party my/our credit history and employment history.
FALSIFICATION OF CREDIT INFORMATION TO THE BANK IS A CRIMINAL VIOLATION OF FEDERAL AND ALL STATE LAWS. I/WE UNDERSTAND THAT THE FINANCIAL INSTITUTION TO WHICH THIS APPLICATION IS BEING PRESENTED WILL BE REQUESTED TO EXTEND CREDIT TO ME/US ON THE BASIS OF THIS CREDIT STATEMENT.
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each customer who opens an account. Therefore, all new and existing customers are subject to the identity verification requirements. When a customer opens an account with any entity within the MFIC family of lenders, we will ask for the customer's name, address and identification number, and, in the case of an individual, his or her date of birth. For business accounts, we may also obtain this information for individuals associated with the business. We may also request to see a driver's license or other identifying documents. In all cases, MFIC is committed to protecting the privacy and identity of each of its customers.
I/WE ACKNOWLEDGE THAT I/WE HAVE RECEIVED A COPY OF THIS APPLICATION.
Not all vessels/vehicles qualify for an extended warranty. Call 407-464-0200 for more information.
I Agree
Yes
No
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