Secured Comprehensive Application

How did you hear about us?

Important: Select the appropriate options below and complete the applicable sections.

Type of credit:

	Individual Credit – (Relying solely on my income or assets)
	Individual Credit – (Relying solely on my income assets as well as income or assets from other sources)
	Joint Credit * If you intend to apply for Joint Credit Initial here

Aircraft will be registered to:

INDIVIDUAL CO-OWNERSHIP PARTNERSHIP CORPORATION

PERSONAL INFORMATION

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

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

LOAN AMOUNT REQUESTED

Purchase

Refinance

Overhaul

Avionics Upgrades

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*

Yes No 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?
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?

Are you interested in learning about Aircraft Insurance Products?

Yes No

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