Important: Select the appropriate options below and complete the applicable sections.
Aircraft will be registered to:
INDIVIDUAL CO-OWNERSHIP PARTNERSHIP CORPORATION
PERSONAL INFORMATION
NAME
EMAIL
ADDRESS
CITY
STATE
ZIP
PHONE
YEARS THERE
Own
Rent
SSN
Submit later
BIRTH DATE
(mm/dd/yy)
IDENTIFICATION
Driver�s License/State I.D.
Passport
Alien Registration
Other
Issue by
U.S. CITIZEN
Yes
No
MONTHLY PAYMENTS
$
Rent/Mortgage
MORTGAGE BALANCE
$
PREVIOUS ADDRESS
(If current is less than 2yrs)
NUMBER OF DEPENDENTS
NEAREST RELATIVE
Not Living With You
RELATIVE PHONE
BANK WITH
BANK ACCOUNT #
CO-APPLICANT (if applicable)
NAME
ADDRESS
CITY
STATE
ZIP
PHONE
YEARS THERE
Own
Rent
SSN
BIRTH DATE
(mm/dd/yy)
IDENTIFICATION
Driver�s License/State I.D.
Passport
Alien Registration
Other
Issue by
U.S. CITIZEN
Yes
No
MONTHLY PAYMENTS
$
Rent/Mortgage
MORTGAGE BALANCE
$
PREVIOUS ADDRESS
(If current is less than 2yrs)
NUMBER OF DEPENDENTS
EMPLOYMENT INFORMATION
EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
YEARS THERE
TITLE
GROSS MONTHLY INCOME
PREVIOUS EMPLOYER
(If current is less than 2yrs)
Other Income: Alimony, child
support, or separate maintenance income need not be revealed if you do
not wish to have it considered as a basis for repaying this obligation.
Alimony, child support, or separate maintenance received under
Court Order Written Agreement Oral Understanding.
OTHER INCOME
$
Describe:
CO-APPLICANT EMPLOYMENT INFORMATION (if applicable)
EMPLOYER
ADDRESS
CITY
STATE
ZIP
PHONE
YEARS THERE
TITLE
GROSS MONTHLY INCOME
PREVIOUS EMPLOYER
(If current is less than 2yrs)
AIRCRAFT INFORMATION
YEAR
MAKE
MODEL
FAA REG #
SERIAL NUMBER
WILL IT BE HANGARED
AIRPORT IT WILL BE BASED
WHO WILL FLY THIS AIRCRAFT
LAST ANNUAL DATE
TTAF
SMOH
AVIONICS
Supply Separate Spec Sheet on Aircraft
SELLING PRICE
$
CASH DOWN
$
TRADE
$
FINANCE AMOUNT
$
TERMS DESIRED
INSURANCE COMPANY/PHONE
PRIMARY USAGE
FLYING EXPERIENCE
PILOT
AGE
TYPE LICENSE
IFR RATING
FLIGHT HOURS
BUSINESS INFORMATION (if applicable)
NAME OF CORP PARTNERSHIP
ADDRESS
CITY
STATE
ZIP
FISCAL YEAR END
TYPE OF BUSINESS
STATE & DATE OF INCORPORATION
NO. OF EMPLOYEES
FEDERAL TAX I.D. NO. (EIN)
PRODUCT OR SERVICE PERFORMED
PRINCIPALS
% OF OWNERSHIP
TITLE
BUSINESS FINANCIAL OBLIGATIONS AND/OR CREDIT REFERENCES
NAME, CITY, STATE (1)
AMOUNT OF LOAN (1)
$
BALANCE (1)
$
NAME, CITY, STATE (2)
AMOUNT OF LOAN (2)
$
BALANCE (2)
$
NAME, CITY, STATE (3)
AMOUNT OF LOAN (3)
$
BALANCE (3)
$
PERSONAL FINANCIAL STATEMENT
The following is submitted
for the purpose of procuring, establishing and maintaining credit with
YOU in behalf of the undersigned persons, firms or corporations in whose
behalf the undersigned may either severally or jointly with others
execute a guaranty in your favor. The undersigned warrants that this
financial statement is true and correct and that you may consider this
statement as continuing to be true and correct until a written notice of
a change is given to you by the undersigned.
PLEASE DO NOT LEAVE ANY
QUESTIONS UNANSWERED. USE �NO� OR �NONE� WHERE NECESSARY. IF ADDITIONAL
SCHEDULES ARE USED, PLEASE SIGN, DATE AND ATTACH THEM TO THIS FORM.
PLEASE INDICATE WHETHER ASSETS OR LIABILITIES ARE INDIVIDUAL JOINT WITH
SOMEONE ELSE.
ASSETS
LIABILITIES
Complete the following information about both the Applicant and Joint Applicant or Other person (if Applicable):
Are you obligated to make alimony, Support or Maintenance Payments?
No Yes
If yes, to (Name & Address)
Amt. per Month $
Are you co-maker, endorser or Guarantor on any loan or contract?
No Yes
If yes, to whom owed?
Amt. per Month $
Are there any unsatisfied judgments against you?
No Yes
If yes, to whom owed?
Amt. per Month $
Have you been declared bankrupt in the last 10 years?
No Yes
If yes, when?
Year?
Applicant(s) certifies that
all information contained in this application or in any other document
submitted for the purpose of obtaining credit is true, complete and
correct and accurately reflects Applicant(s)' current financial
condition. In order to provide the Applicant with loan products and services, applicant(s) authorize Mach 1 Finance, its affiliates, or its authorized agents to
verify any and all information to make any inquires of others, including
but not limited to, procuring reports from consumer reporting agencies,
credit bureaus, and the Internal Revenue Service, and to provide
information arising out of Applicant(s) transaction or experience with
it or others. Any reference, employer or creditor named herein is
expressly authorized to furnish Mach 1 Finance with
information in connection with this application. This application shall
remain the property of Mach 1 Finance and may require
Applicant to provide updated financial information on an annual basis. Mach 1 Finance and Mach1AircraftLoans.com has your express permission to share you loan application details with other loan brokers and banks in connection with obtaining your loan.
APPLICANT
DATE
CO-APPLICANT
DATE