<%@LANGUAGE="VBSCRIPT" CODEPAGE="65001"%> :: Financing - Lightning Motorsports ::
 
   
   

 

The following information much be filled out completely in order to obtain financing from Lightning Motorsports, Inc. or from lenders associated with Lightning Motorsports, Inc. The information you provide will be kept completely confidential and will be utilized in evaluating your credit and possibly in the event that (1) we need to contact you regarding a missing payment or other matter regarding your new car or (2) locate the vehicle in the event that you default on your payments.  Your sales representative will be happy to assist you if you have any questions or comments regarding the completion of this questionnaire.

Alternatively, you may print this form to be filled out and faxed, or returned to Lightning Motorsports, Inc. completed by clicking here.


Customer Information
Name:
Street Address:
City:
State: Zip:
Home Phone:
Social Security #:
D.O.B.
Drivers License # State:
Email Address:
Cellular Phone:
     
Do you rent or own your residence? own  rent  live w/ parents
Monthly Payment  
Mortgagor/Landlord:  
Street Address:  
City:  
State: Zip:
How Long At This Address?
Phone  
     
Previous Address:   (if less than 2 yrs at current address)
Street Address:  
City:  
State: Zip:
How Long At This Address?
     
Employer Information
Employer:  
Street Address:  
City:  
State: Zip:
Work Phone:  
Length of Employment:  
Salary: hour  week  month
Occupation:  
     
Employer Information (if less than 2 yrs with current employer)
Employer:  
Street Address:  
City:  
State: Zip:
Work Phone:  
Length of Employment:  
Occupation:  
     
Alternate Contact Information
Name:  
Street Address:  
City:  
State: Zip:
Home Phone:  
Work Phone:  
     
Closest relative not living in your household
Name:  
Street Address:  
City:  
State: Zip:
Home Phone:  
Work Phone:  
     


I agree to the above:

For signature, please enter your Full Name, followed by your complete email address in the following format:  "full name // complete@emailaddress.com"

Signature: