Secure Loan Application

LC Motors 1 Inc.
Secure Loan Application

Primary Borrower Information

Personal

First Name:

Last Name:

Gender:

Male Female

Phone Number:

Birthday:

/ /

Social Security Number:

- -

Email:

Address:

City:

State:

Zip:

How long have you lived here?:

Years

How long have you lived here?:

Months

If you have lived at your current residence less than 3 years, please enter your previous address:

Residence Type:

Mortgage/Rent Payment:

per month

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

License Plate#:

License Plate Status:

I have a license plate I have a plate but the sticker is expired Turned my plate into DMV I need a new license plate.

Contact Method:

Phone E-mail

Do you have an active auto insurance policy?:

Yes No

Vehicle Insurance Provider:

How did you hear about us:

Online Local Advertisement Craigslist Autotrader Friends/Family Drive by Other

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Department/Title:

Time On Job:

Years

Time On Job:

Months

Hourly Rate:

(Mandatory)

Additional Income:

Additional Income Amount:

Vehicle Information

Vehicle Inquiring About:

What will the vehicle be used for:

Private Use Uber/Lyft Delivery Driving

Car payments and contract length is calculated based on average mileage driven per month. Our buy here pay here finance contracts include monthly mileage limitations. To accurately estimate how much you drive, use a map tool to see how many miles you commute to work and back. In the U.S, the average driving is 1200 miles per month according to a 2022 statistic. Please select what monthly mileage cap you would like for your contract:

Monthly Mileage Cap if Other:

Do you have an open auto loan:

No Yes Yes I am a Co-Signer for someone

Agree:

Car payments are calculated based on average driving per month. Please be as accurate as possible in answering the question above about mileage. Driving more than allowed per your finance contract will result in a new shorter finance contract and higher payments

References

Reference 1 Name:

Phone Number:

Address:

Relationship:

Reference 2 Name:

Phone Number:

Address:

Relationship:

Reference 3 Name:

Phone Number:

Address:

Relationship:

Disclaimer

I certify that all information herein is true and complete. I agree I am voluntarily providing this information to LC Motors 1 Inc in this application and acknowledge that my information may be shared pursuant to the dealer’s privacy policy. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment, and salary history. I authorize LC Motors 1 Inc, LC Auto Sales and Finance Inc, and their representatives to contact me by phone (calls or text messages), e-mail, and regular mail. By submitting this application, I acknowledge that a bankruptcy proceeding is neither in progress nor anticipated.

Co-borrower Information

Personal

First Name:

Last Name:

Gender:

Male Female

Phone Number:

Birthday:

/ /

Social Security Number:

- -

Email:

Address:

City:

State:

Zip:

How long have you lived here?:

Years

How long have you lived here?:

Months

If you have lived at your current residence less than 3 years, please enter your previous address:

Residence Type:

Mortgage/Rent Payment:

per month

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

License Plate#:

License Plate Status:

I have a license plate I have a plate but the sticker is expired Turned my plate into DMV I need a new license plate.

Contact Method:

Phone E-mail

Do you have an active auto insurance policy?:

Yes No

Vehicle Insurance Provider:

How did you hear about us:

Online Local Advertisement Craigslist Autotrader Friends/Family Drive by Other

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Department/Title:

Time On Job:

Years

Time On Job:

Months

Hourly Rate:

(Mandatory)

Additional Income:

Additional Income Amount:

Vehicle Information

Vehicle Inquiring About:

What will the vehicle be used for:

Private Use Uber/Lyft Delivery Driving

Monthly Mileage Cap if Other:

Do you have an open auto loan:

No Yes Yes I am a Co-Signer for someone

Agree:

References

Reference 1 Name:

Phone Number:

Address:

Relationship:

Reference 2 Name:

Phone Number:

Address:

Relationship:

Reference 3 Name:

Phone Number:

Address:

Relationship:

Disclaimer

By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer identified in this application and acknowledge that my information may be shared pursuant to the dealer’s privacy policy, if applicable. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment and salary history. By submitting this application, I acknowledge I am authorizing this dealer to check my credit.

LC Motors 1 Inc.Secure Loan Application

Primary Borrower Information

Personal

Employment

Vehicle Information

References

Co-borrower Information

Personal

Employment

Vehicle Information

References

LC Motors 1 Inc.
Secure Loan Application