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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.