Buyer's Information
e-mail address
First M. Last
Name
Date of Birth (DD-MM-YYYY)
Social Insurance Number

Current Street Address


Town Province
Postal Code

Home Information
years at present address Residence type
Current value (if Owned)
Mortgage balance (if any)
Residence mortgage institution
Residence payment (Mortgage or rent)

Previous Address: (if less than 3 years at current address)


Town Province
Postal Code

Phone Numbers
Home Work Cell

Employment Information
Current employer
Current occupation
Employer town/city
Gross monthly salary
Years with employer

Previous employer (if less than 3 years at current employer) Previous employer
Previous occupation
Years with previous employer

Other Income
Source of other income
Amount of gross monthly other income

Co-Buyer's Information
First M. Last
Name
Date of Birth (DD-MM-YYYY) Co-Buyer social insurance number

Employment Information
Current employer
Current occupation
Employer town
Gross monthly salary
Years with employer

Previous Employer(if less than 3 years at current employer)
Previous employer
Previous occupation
Years with previous employer

Other Income
Source of other income
Amount of gross monthly other income

Boat Information
Purchase Boat
Purchase boat model year
Purchase boat manufacturer
Purchase boat model
Purchase boat price

Trade Boat
Model year
Manufacturer
Model
Allowance
Amount of any lien
Institution where lien is held

Cash Deposit Amount of cash to put down in addition to trade (if any)

Additional Comments