The Yacht BankerApplication for Financing Marital Status * Married Unmarried Separated US Citizen Yes No Name * First Name Last Name Phone Number * (###) ### #### Email Birth Date * MM DD YYYY Social Security Number * Have you owned a boat before? * Yes No Length of largest boat you have owned * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Move in date * MM DD YYYY Address (If less than 2 years at current residence) Address 1 Address 2 City State/Province Zip/Postal Code Country Move in date for previous address MM DD YYYY Residence Type Own Rent Mortgage Payment or Rent Amount * $ Employment Status * Employed (Others) Retired Self Employed Employed By Current Employer Address Position / Title Gross Monthly Income $ Current Employment Start Date MM DD YYYY Previous Employer if less than 2 years Start date at previous employer if less than 2 years MM DD YYYY Other Income 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 Source New or Used Boat New Used Year, Make and Model of Boat you wish to purchase * Length of Boat * Engine Manufacturer * Engine Horsepower * Number of Engines * 1 2 3 4 5 6 7 Fuel Type * Gas Diesel Total selling price of boat * Including all taxes and fees $ Down Payment or Trade Allowance * $ Trade Year, Make Model If applicable Loan Amount Requested * $ Term Requested * Length of loan you would like 10 Years 12 Years 15 Years 20 Years Co-Applicant Name Only if applying with co-buyer. Scroll to bottom if no co-applicant First Name Last Name Phone Number (###) ### #### Email Relationship to Applicant Co-Applicant Marital Status Married Unmarried Separated US Citizen Yes No Co-Applicant Date of Birth MM DD YYYY Co-Applicant Social Security Number Co-Applicant Address Address 1 Address 2 City State/Province Zip/Postal Code Country Move in date MM DD YYYY Employment Status Employed (Others) Retired Self Employed Employed By Position / Title Gross Monthly Income $ Current Employer Address Employment Start Date MM DD YYYY Other Income 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 Source Comments / Questions Signature * By entering your name you grant permission for The Yacht Banker and Newcoast Financial to seek credit on your behalf and obtain your credit information. Thank you! We will begin working your application immediately and will respond back to you as soon as possible.