Smithville Marine Credit Application

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This online credit application  is divided into five sections:. 

  1. Applicant Information
  2. Co-Applicant Information
  3. Applicant's Home Ownership/Rental Information
  4. Applicant's Other Credit Obligations
  5. Comments and Clarifications

Please call our office if you have questions regarding the completion of this information.

Thank you.

Salesperson:     Type of Boat:    Price Range: 

Section 1 -- Applicant Information

Full Name (Include Middle Initial)  
Social Security Number 
          Date of Birth  
Home Phone (Include Area Code)   

E-Mail Address 

Home Address  
  
City 
     State               Zip 
Time At Current Residence 

Employment Information

Current Employer       
Employer Phone Number 
  Job Position 
Annual Income  
 
Other Annual  Income 
    Income Source  
Time At Current Employer 


Section 2 -- Co-Applicant Information

Full Name (Include Middle Initial)  
Social Security Number  
   Date of Birth   

You may enter SAA in the fields below if the answer is the Same As Applicant

Home Phone (Include Area Code)  
Home Address  
  
City  
   State                  Zip 
Time At Current Residence 

Employment Information

Current Employer     
Employer Phone Number  
  Job Position  
Annual Income   

Other Annual Income   
  Income Source 
Time At Current Employer 


 Section 3  Applicant Home Ownership/Rental Information

Do You Own or Rent Your Home   
Landlord or Mortgage Company  

Address of Landlord or Mortgage Company

Phone Number of Landlord or Mortgage Company  

Monthly Rent or Mortgage Payment  


Section 4 -- Comments or Clarifications

Please include any information you feel may assist
us in presenting your credit application to lenders:

Customer Notices

Information Regarding Co-Applicant or Other Party

Complete Section 2 only if you are applying for joint credit, OR you are applying for individual credit but are relying on income from alimony, child support, or separate maintenance or the income or assets of another person as the basis for repayment of the credit requested.  If you are married and live in a community property state (Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington, Wisconsin) complete section B, providing information about your spouse.


By submitting this Credit Application, I (1) make the attached  representations, which are certified true, correct and complete, for the purpose of obtaining credit, (2) authorize you to investigate my credit record, to verify my credit, employment and income references and to gather such other information that you consider necessary and appropriate, (3) authorize you to give credit reporting agencies and others information regarding your credit experience with me, and (4) understand that you will retain this application whether or not it is approved.


Notice to California Customers:   A married applicant may apply for separate account.

Notice to Ohio Customers:   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.

Notice to New York Customers: In connection with your application for credit, a consumer report may be obtained which contains information on your crdit worthiness, credit standing, credit capacity and general reputation.  If you request, you will be informed whether a consumer report was obtained and if so, you will be given the name and address of the consumer reporting agency which furnished the report.  If yourappliation is granted, subsequent consumer reports my be obtained in connection with any update, extension or renewal of credit.

Notice to Wisconsin Customers:   No provision of a marital property agreement, unilateral statement under section 776.59 Wisc. Stats. or a court decree under section 776.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred.


Smithville, MO  ▪   816-532-4000  ▪   Credit Application  ▪   General Information  ▪  Pricing