Buyer's Information
e-mail address
First
M.
Last
Mr.
Mrs.
Miss
Ms.
Name
Date of Birth (DD-MM-YYYY)
Social Insurance Number
Current Street Address
Town
Province
Postal Code
Home Information
years at present address
Own
Rent
Family
Other
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
Mr.
Mrs.
Miss
Ms.
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