Pre-qualification Application

You may submit this application on-line by filling out the following form and clicking on the "submit" button. If you would prefer to fax this application, print it out and fax the completed form to 410-268-3755 . You will have an answer within 48 hours.

Online Payments

MINIMUM LOAN $25,000

* Required Field

Personal Information
*Joint
We are applying for joint credit, and are relying on our joint income and assets as the basis for repayment for the credit requested.
Applicant * Social Security # * Date of Birth
 
* Name  
 

* Address
* U.S. Citizen

Yes No

 

* City

* State

* Zip

* Years at Residence

* Work Phone
Cell Phone
* Home Phone  


 
* Mortgage Holder
* Mortgage/Rent
Payment
   


   

* Employment

* Position

* Annual Salary
* Length of
employment
  Other Income/ Annually   Source of Other Income
 
(alimony, child support, maintenance payments need not be revealed if you do not wish to rely upon such income for approval)

Previous employment required if less than 2 yrs at current employer.

Previous Employment
Previous Position
Previous Annual Salary
Prev. Length of Employ
* E-Mail      

Co-Applicant
ACKNOWLEDGMENT BY CO-APPLICANT: By providing co-applicant information, you confirm your intent to apply for joint credit and be jointly liable for the debt.
* Name   
* Address  
* City
* State
* Zip
 
* Social Security # * Date of Birth
 

Employment Annual Salary Length of employment
  Position  
* U.S. Citizen Other Income/ Annually Source of Other Income
Yes No  
(alimony, child support, maintenance payments need not be revealed if you do not wish to rely upon such income for approval)
 
* Relationship to Applicant   Work Phone Home Phone
 
    
 
Financial Information
Assets
please do not use commas
when entering dollar amounts
   
* Cash on hand and in banks
     
* Stocks, Bonds, Mutual Funds
     
* 401K, IRA, Retirement
     
* Real Estate Value - Primary Residence
     
* Real Estate Value - Second Home
     
* Real Estate Value - Rental Property
     
* Current Boat Value
     
* Other Assets
     
Total$
     
 
Liabilities
please do not use commas
when entering dollar amounts
   
* Credit Cards
     
* Auto Loans
     
* Other Installment
     
* Primary Residence Loan
     
* Second Home Loan
     
* Rental Property Loan
     
* Current Boat Loan
     
Total$
     
* Net Worth (Assets minus Liabilities) $
 
   
* Purchase
Refinance
* Sale price including tax Price: Tax: Total:
  * Loan Request * Term
 
* Year * Manufacturer * Model * Length
* Engine Mfg. * HP * Would you like a yacht insurance quote?
Yes No
Navigation Area Mooring Location
* Current/Previous Boat Description  
 
* Years Boating Experience    
   


* How did you find out about us?

 

Other or specify:

Additional Comments?

 
I/we acknowledge that I/we have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I/we understand that, if the requested credit is granted, you may report information concerning the credit to consumer reporting agencies and to others. I/we affirm that my/our answers are complete and true and authorize you to verify or obtain any information concerning them. Upon your request, I/we further authorize any firm or individual from whom I/we may have obtained or requested credit, to furnish you with the details of that transaction. I/we also agree to provide current financial information upon request, in a form acceptable to you.

*Signature of Applicant & Date (please type your last name & date in the box):  

* Signature of Co-Applicant & Date (please type your last name & date in the box)
:

If you wish to submit this information on-line, click the "submit" button at the bottom of the page. If you prefer to fax this form, click print and fax it to 410-268-3755.

Note to applicant: This prequalification is based purely on information provided to us by you. Verification of this information by us and additional information consisting of your last two years federal tax returns including schedules A-E may be required in order to issue an actual loan commitment. Please fax them to: 410-268-3755.

 

PATRIOT ACT CUSTOMER IDENTIFICATION

The U.S. government, in order to fight the funding of terrorism and money laundering, has issued a law requiring all financial institutions to obtain, verify and record information that identifies each person who opens an account. In addition to the information on our application, please also provide your drivers license number, issue and expiration date, and the state that it was issued. We thank you for your cooperation.

* Primary borrower's name:
*  License number:
*  Expiration date:
*  Issue date:
*  State:

*  Signature:


(please type your last name in the box)
If there is no co-borrower please place NA in the following fields.
*  Co-borrower's name:
*  License number:
*  Expiration date:
*  Issue date:
*  State:

*  Signature:


  (please type your last name in the box)

* Required Field


 

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