DIAMOND SUZUKI MARINE CREDIT APPLICATION
Primary Applicant
CHECK ONE APPLICABLE BOX (PRIMARY APPLICANT AND JOINT APPLICANTS MUST COMPLETE BOTH SECTIONS)

 Primary Applicant
Application is for joint credit with primary applicant or as a guarantor.
Primary applicant is relying on you for income for alimony, child support, or separate maintenance or on         your income or assets as the basis for repayment of the credit requested.
If Joint Applicant, Relationship to Applicant
S-Married  P- Parent   0 - Other 
 Last Name First Name Middle    Jr. Sr.
Date of Birth Soc. Sec. No. Driver Lic.#
 Present Street Address City State Zipcode
 Mailing Address ( if different) City State Zipcode
County Phone in Home Yes No Home Phone( )  Cell Phone( )
 Own Home Outright   Live w/Relative   Own/Buying Mobile Home Lived There How long Rent or Mtge. Payment
Amount
 Buying Home   Renting / Leasing
 Name and Address of Mortgage Holder
  Previous Street Address ( if less than 2 years at present address )
    City State Zipcode How Long
 
 Current Employer Employer Phone Number
 Applicant's Occupation (or Military Rank) Gross Monthly Salary $ How Long with Present Employer
 Alimony, child support or seperate 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 Other Income Amount $
 Previous Employer ( if less than 5 years at current employer) City/State
 Name of Bank       Checking and Saving    Checking Only    Saving Only    No Account
 Have you Ever Had a Car or Other Merchandise Repossessed?      Have You Ever Filed Bankruptcy? If Yes When
Creditor'sName - City/State
Date Opened
Monthly Payment Amount
Unpaid Balance
 Name And Address of Applicant's Nearest Relative/Friends Not in Household
  Phone # Relationship
  Phone # Relationship
  Phone # Relationship
 Joint Applicant
  Last Name First Name Middle    Jr. Sr.
Date of Birth Soc. Sec. No. Driver Lic.#
 Present Street Address City State Zipcode
 Mailing Address ( if different) City State Zipcode
County Phone in Home Yes No Home Phone( )  Cell Phone( )
 Own Home Outright   Live w/Relative   Own/Buying Mobile Home Lived There How long Rent or Mtge. Payment
Amount
 Buying Home   Renting / Leasing
 Name and Address of Mortgage Holder
  Previous Street Address ( if less than 2 years at present address )
    City State Zipcode Lived There How Long
 
 Current Employer Employer Phone Number
 Applicant's Occupation (or Military Rank) Gross Monthly Salary $ How Long with Present Employer
 Alimony, child support or seperate 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 Other Income Amount $
 Previous Employer ( if less than 5 years at current employer) City/State
 Name of Bank       Checking and Saving    Checking Only    Saving Only    No Account
 Have you Ever Had a Car or Other Merchandise Repossessed?      Have You Ever Filed Bankruptcy? If Yes When
   For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained the age of majority  I authorize you. including any of your affiliates to check my credit and employment history and to provide and/or obtain information about credit experience with me.
Please Type your Full Name Below as Signature of Authorization
 Primary Applicant Online Signature: Date:
    Joint Applicant Online Signature:   Date: