Server: Microsoft-IIS/3.0 Date: Mon, 29 Dec 1997 18:15:35 GMT Content-Type: text/html Accept-Ranges: bytes Last-Modified: Mon, 25 Aug 1997 02:29:42 GMT Content-Length: 5961 Consumer Credit Application

Travis Boating Centers

Consumer Credit Application

Your Name(s):   e-Mail: 
Main Address:  
City:           State:  Zip:  How Long?years
Phone Number:   Fax Number:        
Date of Birth:  Social Security No.
Driver License: No. of dependents: 
Your Home:      Monthly Payment:
Paid to Name and Address
    
Purchase price of home: 
Down payment on home:   
Estimated market value: 
Previous Address (Complete)- resident over 5 years
    
For  years I was employed by
    
Occupation:    Monthly Gross Pay:  
Job Phone:          Other Income:       
Dept./Badge No.:    Except alimony, child support, or maintenance
income need not be revealed if buyers do not want it considered as a basis for payment. 
Previous Employer - Name and Address - give 5 years employment
    
Nearest Relative (1) Name, address and phone number
    
Auto Year and Make:
Checking Account:  
Savings Account:   
Creditor Address Security Monthly Pmt. Balance

I certify that all statements made herein are true and complete, and are to be relied upon by dealer and or assignees and are made to induce dealer and/or assignee to extend credit. I further certify that there are no lawsuits pending or unpaid judgments unless mentioned above. I authorize dealer and/or assignee to investigate their credit, verify employment and to release information about dealer’s and/or assignee’s credit experience with them.