JustDoatLoans™ 410-263-6032 ~ Phone410-263-6058 - Fax

I:U:=~::::::e:. yearsElpected closing date: _

MY BOAT IJ Pre-owned IJRefinanceVessel Use:

IJNewYear Manufacturer _

Model Length _

Selling Price $ _

Sales/Use Tax $ _

Cash Down Payment $ _

Trade-In Allowance $ ----

Engine(s) HP _Mfg.

[J Gas

[J Diesel

[JSingle

[JTwin

[J Pleasure Use

1:1 Primary Residence

[J Charter - bareboat

[J Charter - crewed

Hull material

o Fiberglass

o Wood

o Metal

[JPower

MY INFORMATION IJ Individual

DSaii

IJ Joint IJ Corporate owner--AppHcanffiame o_~~ Status:-[J Manried 1:1Unmarried U Separatecr

Soc. Sec. No. Date of Birth _

Home . Street ~----------------Address

State Zip Home Phone No. Years at this address _

o Rent 0 Own: Payment $ Paid to: (mortgage co. or landlord)

Employer Name City _

Position _

Are you a U.S.citizen? 0 Yes 0 NoCity' _

Years at employer _

% ownership (if any) Annual Salary $ Phone No. _Email Address: , _Cell Phone: _

Co-Applicant Name _

State _

Soc. Sec. No. Date of Birth ~ _

State _ Years at employer _

Annual Si31ary$ Phone no.

Employer Name _

Position _

Cell Phone: _

C~ _

% ownership (if any) _Email Address: _

Other Income Source(s) Annual Amount $(Alimony. child support or separate maintenance payments are optional and need not be revealed if the Applicant does not choose to rely on such income in applying for cred=it.':")--------Have either Applicant or Co-Applicant ever filed for bankruptcy or reorganization? 0 Yes 0 No

MY FINANCIAL STATEMENT Dated: IJ Individual, or Q Joint withs~.p~o:::.:u~s~e:;..,..,=~~=I mak

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e the following statement to Lender of all my assets and liabilities asChecking $Savings/CD/Other Deposit $Marketable securities $IRAl401K $Real Estate - Residence $Other Real Estate $Automobile(s) $Boat(s) $Value of Closely Held Companies $Other assets $TOTAL ASSETS $

SIGNATURE OF APPLICANT DATE

We Intend to Rle for joint credit: (Please Initial) APPUCANT:

l'ofthe date above

Charge accounts/Credit cards $Automobile loan(s) $Home Mortgage $2na Mortgage/Home Equity Line of Credit $IOther Real Estate Mortgage(s) $Other Credit Lines $Boat 10cln(s) $Other liabilities $Other liabilities $TOTAL LIABILITIES $NetWorth (Assets-Liabilities) $

(/)w~:::::iiiis....I

SIGNATURE OF APPUCANT DATE

CDAPPUCANT: