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Financing
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Credit Application

Step 1 of 5

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Loan Information
Individual or Joint Application*
- Individual
- Joint
Purchase Price*
Amount Requested*
Please enter a number greater than or equal to 2500.
Down Payment Amount*
Equipment Manufacturer & Model*
Equipment New or Used?*
- New
- Used
Equipment Year*
Dealer or Private Sale*
- Dealer
- Private Sale
Unfortunately we are unable to work with private sales.
Dealership Name*
Dealership Address*
Street Address City State ZIP Code
Do you have a trade-in?*
- Yes
- No
Estimated Trade-in Value*
Trade-in Manufacturer & Model*

Applicant Information
Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Current Address*
Street Address City State ZIP Code
Birth Date*
MM slash DD slash YYYY
Social Security Number*
Years at Current Address*
Own or Rent*
- Own
- Rent
Monthly Payment*
Previous Address*
Street Address City State ZIP Code
Years at Previous Address*
Nearest Relative (Not living with you)*
First Last
Nearest Relative Address*
Street Address City State ZIP Code
Nearest Relative Phone*

Applicant Employment Information
Employer's Name*
Employer's Address*
Street Address City State ZIP Code
Business Phone*
Occupation*
Gross Monthly Income*
Years at Employer*
Previous Employer's Name*
Previous Employer's Address*
Street Address City State ZIP Code
Years at Previous Employer*
US Citizen*
- Yes
- No
Self Employed*
- Yes
- No
Other Income
Other Income Sources

Co-Applicant Information
If you selected individual applicant you will not need to provide any co-applicant information.
Name*
First Last
Relationship to Applicant*
- Spouse
- Other
Phone*
Current Address*
Street Address City State ZIP Code
Birth Date*
MM slash DD slash YYYY
Social Security Number*
Years at Current Address*
Own or Rent*
- Own
- Rent
Monthly Payment*
Previous Address*
Street Address City State ZIP Code
Years at Previous Address*
Nearest Relative (Not living with you)*
First Last
Nearest Relative Address*
Street Address City State ZIP Code
Nearest Relative Phone*

Co-Applicant Employment Information
If you selected individual applicant you will not need to provide any co-applicant information.
Employer's Name*
Employer's Address*
Street Address City State ZIP Code
Business Phone*
Occupation*
Gross Monthly Income*
Years at Employer*
Previous Employer's Name*
Previous Employer's Address*
Street Address City State ZIP Code
Years at Previous Employer*
US Citizen*
- Yes
- No
Self Employed*
- Yes
- No
Other Income
Other Income Sources
Other Comments
Authorization*
- Applicant(s) Agree
Everything I have stated on this application is true to the best of my knowledge. I understand that FLCC Financing will retain the application whether or not it is approved. FLCC Financing is authorized to check my credit and employment history and to answer questions about FLCC Financing's credit experience with me.
E-Sign Act Notice Of Delivery Of Disclosures*
- Applicant(s) Agree
Federal regulation requires financial institutions to inform loan applicants that certain disclosures related to this on-line application will be delivered electronically (e.g., screen display). Should the application be denied, Notice of Adverse Action will be sent to the applicant(s) via U.S. Postal Service. Should the application be approved and applicant(s) enter into a loan with us through the dealership of their choice, copies of loan-related disclosures will be provided to them by the dealership where the transaction is completed. Applicants must agree to this notice for the application process to continue.
How did you find FLCC Financing?*
- Google Search
- Friend/Family
- Racing Junk Website
Comments
This field is for validation purposes and should be left unchanged.

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FLCC Financing