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Please note: This credit application does not have a secure server certificate. If you are concerned with the risk of sending sensitive information online, please print this page, fill it out and fax it to Sanderson Marine at (804) 706-4741.

Required fields are marked with an asterisk [*].

APPLICANT INFORMATION
*NAME [First & Middle, Last]
*DATE OF BIRTH *SOCIAL SECURITY#
*STREET ADDRESS
*CITY *EMAIL
*STATE *ZIP CODE
*TELEPHONE *TIME AT ADDRESS
*LIVING SITUATION

Rent Own

Mortgage/Rent Payment
*CURRENT EMPLOYER
Name
Address
Position
Time With Employer
Business Phone
*MONTHLY GROSS INCOME



CO-APPLICANT INFORMATION
NAME [First, Middle, Last]
DATE OF BIRTH SOCIAL SECURITY#
STREET ADDRESS
CITY
STATE ZIP CODE
TELEPHONE TIME AT ADDRESS
LIVING SITUATION

Rent Own

Mortgage/Rent Payment
CURRENT EMPLOYER
Name
Address
Position
Time With Employer
Business Phone
MONTHLY GROSS INCOME



DESCRIPTION OF GOODS
*ITEM [All fields required]
Product
New Used
Year
Manufacturer
Model
Sale Price
Downpayment


I hereby affirm that the foregoing information is true and correct and made for the purpose of obtaining credit. I authorize you to obtain additional information from each source(s) and each source is hereby authorized to provide you with such information. I also grant you permission to obtain a credit report on me for all legitimate purposes in connection with this transaction. Such purposes include assisting in making a credit decision, reviewing my account and assisting in taking collection activity. I authorize you to share all the foregoing information with the Lender and it's subsidiaries. This application, in any event, shall be and remain the property of the Lender, and is subject to the completion and acceptance of additional credit application documents proper to any approved extension of credit.

I agree