Applicant Information

Applicant Name:   Marital Status:

Date of Birth:   SSN:

Your e-mail address: (required)

Address:

City:  State:  Zip:

Monthly payment:  How long:  Rent or Own:

Home phone:  Business phone:

Fax:  Occupation:

Employer:

Employer's Address:

City:  State:  Zip:

Employer's phone:  Annual income:

Drivers License:  State:  Expires:

Ever financed an aircraft: Yes No   If Yes, was it: Financed Leased

With Whom:

Aircraft Information

Aircraft Year:  Aircraft Make:

Aircraft Model:

Registration (N#):  Total Time on aircraft:

Is aircraft operational: Yes No     Planned use of aircraft:

Serial Number:  Date of annual:

Who performed last annual:

Engine serial number:  SMOH:

Airport location:  City:  State:

After purchase location:

Intended maintenance facility:

Aircraft Financial Information

Purchase Price:  Down Payment:

Funding amount requested:

Anticipated closing date:

Seller's Name:

Company:

Seller's Address:

City:  State:  Zip:

Seller's Telephone:

Comments:


In order to submit an application you need to agree to the following autorization terms:

I authorize prospective Credit Grantors/Lending/Leasing Companies to obtain personal and credit information about me from my employer and credit bureau, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided.

This information, as well as that provided by me in the application, will be referred to in connection with this lease/finance agreement and any other relationships we may establish from time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies.

THIS IS TO CERTIFY that all information contained in my credit application are true and correct. I assume full responsibility for any false statement appearing in this document.