Barry Jay's Boat Financing Pre Approval Form .pdf

Boat Financing Pre-Approval Form
Want your dream boat but need some financing? Please fill out the Pre-Approval form below
and one of our Financing specialists will get in touch with you right away. Have questions
before applying for approval? Click here to contact us today.
Product Inquiry
Name *
First
Middle
Last
Email *
SIN (optional)
Birthday *
Status *
Married, Single, etc.

Phone *
Present Address *
City *
Province *
Postal *
Country *

Canada

How Long? *
Previous Address 1 *
address, city, province, postal code

How Long at Previous Address 1
Previous Address 2
address, city, province, postal code

How Long at Previous Address 2
Buyer's Employment Information *
Employer, Address, Position, Income, Phone

How Long at Employer? *
Other Income

Company, Address, Position, Income, Phone

How Long at Other Income?
Previous Employer (if less than 2 years) *
Employer, Address, Position, Income, Phone

How Long at Previous Employer?
Primary Bank *
Mortgage Company/Landlord

Rent or Own? *
•

Rent

•

Own

Present Value *
Primary Bank

Balance Owing *
Primary Bank

Monthly Payment *
Primary Bank

Bank/Creditor 1
Bank/Creditor 1

Type
Bank/Creditor 1

Present Value
Bank/Creditor 1

Original Amount
Bank/Creditor 1

Balance
Bank/Creditor 1

Monthly Payment
Bank/Creditor 1

Bank/Creditor 2
Bank/Creditor 2

Type
Bank/Creditor 2

Present Value
Bank/Creditor 2

Original Amount
Bank/Creditor 2

Balance
Bank/Creditor 2

Monthly Payment
Bank/Creditor 2

Bank/Creditor 3
Bank/Creditor 3

Type
Bank/Creditor 3

Present Value
Bank/Creditor 3

Original Amount
Bank/Creditor 3

Balance
Bank/Creditor 3

Payment
Bank/Creditor 3

Have you had an asset repossessed? *
•

Yes

•

No

Have you declared bankruptcy in the last 7 years? *
•

Yes

•

No

Have you been sick or injured in the last 7 years? *
•

yes

•

No

Terms and Conditions *
•

Accepted Terms and Conditions

We will protect your personal and financial information, and it is used only by (and disclosed to) the
financial institution or chartered bank and only to enhance products, services and our marketing to you,
and to secure credit and to support and improve your total customer experience. Please note that by
submitting personal information to us, you consent to the use as described above, and in our Privacy
Policy.