Sea-Tow Pre-Qualify Application

CERTIFICATION AND CREDIT RELEASE AUTHORIZATION I hereby certify that the information contained in this credit application is true and accurate and I hereby authorize our banks and financial institutions to release credit information to Workboat Capital, Inc. In states where permissible, I hereby authorize the filing and recording of UCC financing statements showing Workboat Capital, Inc.'s interest in all the business assets and grant Workboat Capital, Inc. the right to execute them in our company name. I hereby authorize WorkBoat Capital, Inc. and its affiliates, successors and/or designees (and any assignee or potential assignee thereof) and any lending source to whom this application is submitted to obtain consumer credit reports relating to individual credit history and/or creditworthiness. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. By signature below, I/we affirm my/our identity as the respective individual(s) identified in this application.

	Pre-Qualify now
	Here is the checklist of information we need to approve your financing:
	Sale price of the vessel Dollar amount requested Resume or CV Personal Financial Statement Company background and history for their primary income Most recent 2 years financial statements: Balance Sheet Income Statement Cash Flow Statement Debt Schedule Year to date financial statements Charter Agreements, or any other relevant contract (ex. Lease agreement)
	Here is Your Sea Tow Pre-Qualify Application Please enable JavaScript in your browser to complete this form. - Step 1 of 4 Business Name Business Structure Corporation Partnership LLC LLP Sole Prop Cooperative State of Incorporation Business Address City State Zip Code Business Phone Annual Revenue Date business started Federal Tax ID Contact Name First Last Contact Cell Phone Contact Email Email Confirm Email Owner(s) Principal Owner # 1 Principal Owner #1 Name First Last % Ownership Social Security Number Principal #1 Home Address City State Zip Code Principal #1 Phone Principal #1 Cell Phone Principal #1 Driver’s license number Drivers License State Date Of Birth Email Email Confirm Email Owner(s) (copy) Principal Owner # 1 Dealer, Seller, or Builder Information Dealer / Seller / Builder Name If no dealer, enter NONE. Dealer Address Dealer City Dealer State Delaer Zip Code Dealer Contact First Last Dealer Contact Phone Dealer Contact Cell Phone Dealer Email Email Confirm Email Vessel Description Builder / Manufacturer Type of Vessel Year, Model and LOA Engine(s) Manufacturer and Horsepower Number of Engines Single Twin Triple Quad Fuel Gas Diesel Electric Boating Experience (Please describe other boats owned) Total Cost Preferred Finance Structure Capital Lease Operating Lease EFA (Equipment Finance Agreement) Other (Please Specify Below) Other Desired Finance Structure Term Requested Choose Term from dropdown Notes CERTIFICATION AND CREDIT RELEASE AUTHORIZATION I hereby certify that the information contained in this credit application is true and accurate and I hereby authorize our banks and financial institutions to release credit information to Workboat Capital, Inc. In states where permissible, I hereby authorize the filing and recording of UCC financing statements showing Workboat Capital, Inc.'s interest in all the business assets and grant Workboat Capital, Inc. the right to execute them in our company name. I hereby authorize WorkBoat Capital, Inc. and its affiliates, successors and/or designees (and any assignee or potential assignee thereof) and any lending source to whom this application is submitted to obtain consumer credit reports relating to individual credit history and/or creditworthiness. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. By signature below, I/we affirm my/our identity as the respective individual(s) identified in this application. Signature Clear Signature Website

Pre-Qualify now

Here is the checklist of information we need to approve your financing:

Sale price of the vessel

Dollar amount requested

Resume or CV

Personal Financial Statement

Company background and history for their primary income

Most recent 2 years financial statements:

Here is Your

Sea Tow Pre-Qualify Application

Owner(s)

Owner(s) (copy)

Dealer, Seller, or Builder Information

Vessel Description