Credit Application Form
Please Print this form and Mail or Fax to:

Sunland Marine
10636 N. Cave Creek Rd.,   Phoenix, Arizona 85020
Ph 602-944-2623 Fax 602-944-4503

Please print with black ink

Full Name____________________________________ Social Security Number________________________ Date of Birth______________

Spouse's Full Name_____________________________ Social Security Number________________________ Date of Birth______________

Home Address_____________________________________________ City______________________ State_______ Zip Code__________

How long have you lived at the above address Years_________ Months________ Home Phone # (______)___________________________

Mailing Address____________________________________________ City______________________ State_______ Zip Code__________

Have you ever filed for Bankruptcy? Yes_______No_______

Applicant's Driver's License (State and Number)________________________________________________
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Your Employer Information

Present Employer (type of business if self-employed)_______________________________________________________________________

Employers Address ________________________________________ City______________________ State_______ Zip Code___________

Your Position________________________________________________________ How Long at this job Years_________ Months________

Employers Phone number (______)____________________ Gross Monthly Income $_______________________
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Spouse's Employer Information

Present Employer (type of business if self-employed)_______________________________________________________________________

Employers Address________________________________________ City______________________ State_______ Zip Code___________

Spouse's Position_____________________________________________________ How Long at this job Years_________ Months________

Employers Phone number (______)____________________ Gross Monthly Income $_______________________

Have you ever filed for Bankruptcy? Yes_______No_______

Total household monthly income $___________________

I/WE GIVE THE ABOVE INFORMATION FOR THE PURPOSE OF OBTAINING CREDIT AND AUTHORIZE SUNLAND MARINE (DEALER) TO OBTAIN INFORMATION CONCERNING ANY STATEMENTS MADE HEREIN. I AUTHORIZE THE BANK TO CONTACT ME AT ANY TELEPHONE NUMBERS PROVIDED, LISTED IN MY NAME OR IN THAT OF ANY FAMILY MEMBER OR PROVIDED TO THE BANK BY ANY OTHER PERSON.

X________________________________________________________ Date____________________
Purchaser's Signature

X________________________________________________________ Date____________________
Purchaser's Signature

 

This form is in printable form only to provide you with the highest level of security Please mail to Sunland Marine at the address listed above or fax to 602-944-4503. If you choose to E-Mail this form we can not be responsible for security while in transit over unsecure Internet lines.