Customer One Financial: Loan Application

Application Type:
Single Co-Applicant

Loan Type:
Purchase Refinance

Boat / RV:
Boat RV

How Did You Find Customer One:

Sales Person:

First Name:

Middle Initial:

Last Name:

Email:

Home Phone:

Work Phone:

Street Address:

City:

State:

Zip Code:

Own/Rent:

Years There:

Monthly Payment:

How should we contact you:

SS Number:

Date of Birth:

U.S. Citizen:

Employment Status:
Employed Retired
Employer:

Position:

Years Employed:

Gross Monthly Employment Income:

Other Income:

Other Income Description:

Previous Employer (if less than 3 years):

Years Employed:

Have you ever declared bankruptcy? Yes No

If yes, the year

Do you make child support payments? Yes No

If yes, the amount

Are there any outstanding liens or judgements against you? Yes No

"Customer One Financial will be recognized as the service leader in the Marine/RV Finance Industry."