Applicant Info

First Name*

Last Name*

Middle Initial

Email Address*

Phone #*

Street Address*

Address line 2

City*

State*

Zip Code*

Residence Type

Monthly Rent/Mortgage*

Date of Residency

Social Security #*

Date of Birth*

Driver's License #*

Driver's License State*

Applicant Employment Info

Employer Name*

Employer Phone #*

Employer Address*

Job Title*

Employer City*

Employer State

Employer Zip*

Occupation*

Employment Status*

Date of Employment

This is the date you started your employment

Gross Monthly Income*

Additional Income Source

Any source outside of your full-time employment in which you receive a regular (dependable) income from

Additional Income (Monthly Amount)

The amount of money you make from your additional income source

Co-Applicant Info

First Name*

Last Name*

Middle Initial

Email Address*

Phone #*

Street Address*

Address Line 2

City*

State*

Zip Code*

Residence Type

Date of Residency*

Monthly Rent/Mortgage*

Social Security #*

Date of Birth*

Driver's License #*

Driver's License State*

Co-Applicant Employment Info

Employer Name*

Employer Phone #*

Job Title*

Employer Address*

Employer City*

Employer State

Employer Zip*

Occupation*

Employment Status*

Date of Employment

This is the date you started your employment

Gross Monthly Income*

Additional Income Source

Any source outside of your full-time employment in which you receive a regular (dependable) income from

Additional Income (Monthly Amount)

The amount of money you make from your additional income source

Tell us about the vehicle you want

Year

Make

Model

Trim

Vehicle Mileage

Loan Info

Purchase Type*

Desired Loan Amount*

Desired Monthly Payment*

Down Payment Amount*

Trade-In Info

Trade-In?*

Yes

Trade-In Make

Trade-In Model

Trade-In Year

Trade-In Mileage

Additional Comments

HOW WOULD YOU LIKE US TO CONTACT YOU?

Call

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We may collect personally identifiable information such as name, postal address, telephone number, e-mail address, social security number, date of birth, etc. This personal information is collected and used by Lamborghini Charlotte Credit Application staff for the purpose of facilitating a relationship or business transaction.

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