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Individual Application
Simply fill out the form below and the appropriate person will be in touch. Submit it to our financing department.
Items in BOLD are required.

Contact Information
First Name: Day Phone:
Last Name: Night Phone:
Address 1:
Address 2:
City: Fax:
State: Zip Code:
E-mail Address:
Best Method to Contact:  
Location:
Message:

Personal Information
SSN: Date of Birth:  

Housing Information
Primary Residence Type:  
Years at Current Residence: Monthly Housing Payment:
(If you have lived in your present home fewer than 3 years please provide us with your previous address below)
Previous Address 1:
Previous Address 2:
Previous City: Years at Previous Residence:
Previous State: Previous Zip Code:

Employer Information
Occupation:
Present Employer:
Address:
City: Phone:
State: Zip Code:
Years with Employer: Gross Monthly Income:

Loan/Lease Information
Buy/Lease: Term:
Cash Down: Monthly Payment:

Other Income Information
Other Monthly Income: (Spouse's or Domestic Partner's Income)
Source of Other Monthly Income: (Alimony, Child Support, or separate maintenance income need not be revealed as a basis for repaying your loan. Only for Joint Applicants)
  

By clicking the "Submit" button above, you certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit. You agree to provide and/or authorize Luxury Motors and/or lending partners to obtain such additional information as we may require, including credit reports, in order to complete the processing of your application, and to release information concerning your credit record and standing with us to consumer reporting agencies and other appropriate entities. LUXURY MOTORS KEEPS ALL OF YOUR INFORMATION STRICTLY CONFIDENTIAL AND DOESN'T DISCLOSE YOUR PERSONALLY IDENTIFIABLE INFORMATION TO ANY MARKETING ORGANIZATION WITHOUT YOUR CONSENT.