Credit Application Form

Applicant Details

Basic Applicant Details

Personal Details

Employment Details

Other Details

Applicant Addresses (Minimum 2 years history)
Minimum residential history of 2 years, please add more addresses

Physical Address (Latest to oldest)

Add Physical Address

Please ensure that house numbers are not included in this line

Co-Applicant  

Basic Co-Applicant Details

Personal Details

Employment Details

Other Details

Co-Applicant Addresses (Minimum 2 years history)
Minimum residential history of 2 years, please add more addresses

Physical Address (Latest to oldest)

Add Physical Address

Please ensure that house numbers are not included in this line

Reference Details
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BY CLICKING THIS BUTTON:
  • I understand that by providing my wireless telephone number(s) and/or email address(es) now or in the future, I consent to the use of recorded/artificial voice messages and/or automatic telephone dial devices that may contain my non-public information. My consent covers the use of these contact methods to call or send text to the wireless telephone number(s) and to send text or email messages to the email address(es) I provide to you, for which I may incur a charge; and
  • I understand that any credit insurance products and GAP (where applicable) are not deposits or other obligations of, or guaranteed or insured by, FCG MotoHoldings Co. ("FCG Co.") or its affiliates. I understand that these products and debt protection are not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States; and
  • I understand that I am free to purchase lease insurance products and GAP (where applicable) from another source, and that FCG Co. does not condition the lease on whether these products are purchased from FCG Co. or its affiliates, and FCG Co. does not require me to agree not to obtain these products from another source; and
  • I have read the Notice to Applicant(s) sections, and I agree to the terms and conditions set forth in this Credit Application–Customer Statement, I have received the FCG Co. Privacy Notice; and
  • I hereby authorize an investigation of my credit and employment history by FCG Co., its successors and assigns, and/or certain insurance agents or companies. I understand that my credit and employment history obtained in, and in connection with, this Credit Application–Customer Statement will be used in determining my eligibility for credit approval by FCG Co., and its successors and assigns. If approved, FCG Co., and its successors and assigns, may obtain credit information about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: (1) reviewing the account; (2) taking collection action on the account; or (3) any other legitimate purposes associated with the account; and
  • I CONSENT TO THE USE OF MY CREDIT REPORT INFORMATION FOR MARKETING PURPOSES TO OFFER ME OTHER PRODUCTS AND SERVICES; AND
  • I AUTHORIZE FCG CO. TO SHARE MY PERSONAL INFORMATION CONTAINED IN THIS APPLICATION WITH THE DEALER FOR USE BY THE DEALER; AND
  • I hereby certify that the information I have provided in this Credit Application–Customer Statement is complete and accurate to the best of my knowledge.