Beacon Marine Boats App

Beacon Marine Online Application

Consumer Finance Request The following information is being provided to Blue Water Finance for the purpose of helping Blue Water source financing through its creditor partners. The undersigned consents to Blue Water Finance pulling credit report(s), investigating information contained herein and forwarding it to potential creditor(s) to accommodate application for credit as described in our Privacy Notice. Actual financing is contingent on full creditor review and approval. Additional information may be required. Applications can be done online by filling in the fields below or, if you prefer, you can print the application and fax it to 785-238-2628. If you have any questions in filling out this form, you can call us at 785-210-2628 or 1-800-795-2628 to speak to a loan consultant who can help. All fields below in gray are required. When you are finished with the application, please scroll all the way down to the bottom of this page to sign, date and submit your loan request.
APPLICANT
First Name	Middle	Last
Social Security #	Date of Birth
Drivers License Number and State
Current Street Address
Previous Address (Complete if less than two years at present address)
City	State	Zip
Own Rent Other	Years There	Monthly Payments
Mortgage/Landlord
Home Phone	Work Phone	Cell Phone
Employer	Years Employed
Previous Employer	Years Employed
Title	Monthly Gross Salary
Source of other income, alimony, child support or maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Source of Other Income	Income Amount
Previous Employer	Title	Years Employed

APPLICANT CREDIT INFORMATION
Name of Creditor	Balance	Payment
Bank	Checking Account #	Savings Account #

CO-APPLICANT
First Name	Middle	Last
Social Security #	Date of Birth
Drivers License Number and State
Current Street Address
Previous Address (Complete if less than two years at present address)
City	State	Zip
Own Rent Other	Years There	Monthly Payments
Mortgage/Landlord
Home Phone	Work Phone	Cell Phone
Employer	Years Employed
Previous Employer	Years Employed
Title	Monthly Gross Salary
Source of other income, alimony, child support or maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Source of Other Income	Income Amount
Previous Employer	Title	Years Employed

CO-APPLICANT CREDIT INFORMATION
Name of Creditor	Balance	Payment
Bank	Checking Account #	Savings Account #

I CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE CORRECT AND COMPLETE AND GIVEN FOR THE PURPOSE OF OBTAINING CREDIT. I AUTHORIZE BLUE WATER FINANCE AND ANY CREDITOR OR PROSPECTIVE CREDITOR OF THE UNDERSIGNED OR ANY AGENCY EMPLOYED BY BLUE WATER FINANCE OR ANY CREDITOR OR PROSPECTIVE CREDITOR OF THE UNDERSIGNED TO MAKE INVESTIGATIONS CONCERNING THE UNDERSIGNED OR CONCERNING THE ABOVE INFORMATION AND TO DISCLOSE TO EACH OTHER THE INFORMATION SET FORTH ABOVE AND THE RESULTS OF SUCH INVESTIGATIONS.

Applicants Signature*	Date
Co-Applicants Signature	Date
*Type in full name in the above signature box as your signature.