Secured Comprehensive Application

How did you hear about us?
Important: Select the appropriate options below and complete the applicable sections.
Type of credit:
Aircraft will be registered to:
PERSONAL INFORMATION
NAME
EMAIL
ADDRESS
CITY
STATE    ZIP  
PHONE
YEARS THERE  
SSN
BIRTH DATE  (mm/dd/yy)
IDENTIFICATION  Issue by
U.S. CITIZEN
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  
SSN
BIRTH DATE  (mm/dd/yy)
IDENTIFICATION  Issue by
U.S. CITIZEN
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
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 $
LOAN AMOUNT REQUESTED $
TERMS DESIRED
INSURANCE COMPANY/PHONE
PRIMARY USAGE
FLYING EXPERIENCE
PILOT
AGE
TYPE LICENSE
IFR RATING
FLIGHT HOURS
Total Time
Make & Model
Tail wheel
Constant Speed Prop
Retract Gear
Multi
EAA Member*   If yes, please provide your member number:
*Please note that your EAA membership number will be provided to EAA to inform them that you have taken advantage of this financing opportunity to receive preferred rates and terms as an EAA member.
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
  IN EVEN DOLLARS JOINT
CASH IN BANKS
MARKETABLE SECURITIES, STOCK, BONDS, ETC.
PRIMARY RESIDENCE
INTEREST IN OTHER REAL ESTATE
AUTOMOBILES
OTHER PERSONAL PROPERTY (TOTAL)
CASH VALUE LIFE INSURANCE
OTHER ASSETS
TOTAL ASSETS
LIABILITIES
  IN EVEN DOLLARS JOINT
NOTES PAYABLE TO BANK, FINANCE COMPANIES
AND OTHER (Secured and Unsecured)
RESIDENCE MORTGAGE(s)
OTHER REAL ESTATE DEBT
AUTO LOANS
ACCOUNTS DUE
UNPAID INCOME TAXES
OTHER DEBTS
TOTAL LIABILITIES
NET WORTH (Subtract Total Liabilities from Total Assets)
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?

If yes, to (Name & Address)  Amt. per Month $
Are you co-maker, endorser or Guarantor on any loan or contract?

If yes, to whom owed?  Amt. per Month $
Are there any unsatisfied judgments against you?

If yes, to whom owed?  Amt. per Month $
Have you been declared bankrupt in the last 10 years?

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 National Aircraft Finance Company products and services, applicant(s) authorize National Aircraft Finance Company, 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 National Aircraft Finance Company with information in connection with this application. This application shall remain the property of National Aircraft Finance Company and may require Applicant to provide updated financial information on an annual basis.
APPLICANT   DATE
CO-APPLICANT   DATE