Loan Application

Section 1: Please Tell Us About Your Loan Request

Please check the appropriate disclosure boxes below:

I/(We) hereby make application for a loan for

Vessel Usage:

INDIVIDUAL: I am applying for an individual account in my own name, and am relying on my own income and assets, and not the income or assets of another person, as the basis for repayment of the credit requested.

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.

Will this vessel be used as a dwelling/residence (primary or otherwise)?

Vessel & Transaction Information:

This vessel is

Trade-In Information: (If applicable)

Section 2: Please Tell Us About Yourself

You agree as follows: On each phone number that you give us on this application, whether land line or cell phone, you consent to Lending Associates, its affiliates, our agents, and assignees of any of us contacting you at the number by calling, texting, or sending other electronic messages, from time to time, for any reason about your accounts the lender and its affiliates, including but not limited to, for collection and payment purposes. You agree that automated dialing equipment or prerecorded voice messages may be used for any of these purposes.

Source of Additional Income: Rental Properties/Pension/Retirement/Social Security (You do not have to include information about income from alimony, child support, or separate maintenance payments, unless you want this income to be considered in connection with this application)

In compliance with recent federal legislation, we will be verifying pertinent information which will enable us to confirm your identity.

I/We authorize the Creditor to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on this application. I/We authorize and instruct any person, including but not limited to, all local, state, or federal governmental agencies, or consumer reporting agencies, to complete and furnish the Creditor any information that it may have or obtain in response to such credit inquiries and agree that such information, along with this application, shall remain the Creditor’s property whether or not credit is extended. I/We authorize the Creditor to furnish credit information, including insurance information, to persons who may lawfully receive and use such information.

I/We certify that the information provided in this application is being given for the purpose of obtaining the credit described above and is true and correct as of this date.