Mercury Repower Loan Application

 

Consumer Financing Request

The following information is being provided to Brunswick Financial Services for the purpose of helping Brunswick Financial Services source outboard, gas sterndrive or inboard repower financing through Medallion Bank. The undersigned consents to Brunswick Financial Services forwarding the Loan Application to Medallion Bank for the bank to pull credit report(s) and investigating information contained herin to accommodate applications for credit as described in our Privacy Notice. Actual financing is contingent on full review and approval by Medallion Bank. Additional information may be required.

To apply for Repower Financing, simply complete the fields marked with an * below and hit "submit application" at the the end. If you have any questions, you can call 844.MERCPWR.COM (844.637.2797) to speak to a loan consultant who can help you Monday-Friday 8-5pm and Saturday 9-4pm central standard time.

Additional program terms and conditions apply - please visit the Repower Finance website on MercNet or contact your Mercury representative for details.

 

Step 1: Dealership Information




Step 2: Personal Information

Applicant

Address

* Own or Rent:

Step 3: Financial Information

Other Income

Source of other income, alimony, child support or maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Step 4: Co-Applicant Information

Co-Applicant Information

* Is there a co-applicant?

Address Information

* Own or Rent

Employment Information

Source of other income, alimony, child support or maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Step 5: Finish Application

I CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE, CORRECT AND COMPLETE AND GIVEN FOR THE PURPOSE OF OBTAINING CREDIT. I AUTHORIZE BRUNSWICK FINANCIAL SERVICES AND MEDALLION BANK TO MAKE INVESTIGATIONS CONCERNING THE UNDERSIGNED OR CONCERNING THE ABOVE INFORMATION AND TO DISCLOSE TO EACH OTHER THE INFORMATION SET FORTH ABOVE AND THE RESULTS OF SUCH INVESTIGATIONS.

* Type in full name in the above signature box as your signature.

ENGINE AND FINANCING INFORMATION

Mercury Motor 1
Mercury Motor 2

 

 
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