Apply for Financing

Financing Application

Vehicle to be Financed

Condition*

Make*

Model*

Down Payment Amount*

Preferred Term Length(s)*

24 months

36 months

48 months

60 months

72 months

Please choose at least 1 option.

Type of Application

Choose "Individual" if you are applying by yourself. Choose "Joint" if you are applying with a cosigner.

Primary Applicant

Primary Applicant Personal Information

Primary Applicant: Name

First*

Middle

Last*

Primary Applicant: SSN*

Primary Applicant: Date of Birth*

Primary Applicant: Driver's License (front)*

Browse...

No file selected

Primary Applicant: Email*

Primary Applicant: Phone Number*

(+1)

Primary Applicant: Address

Street Address*

Address Line 2

City*

State*

ZIP Code*

Primary Applicant Housing Information

Primary Applicant: Housing Status*

Primary Applicant: Monthly Payment*

Primary Applicant: How long have you lived at this address?*

Primary Applicant Income Information

Primary Applicant: Current Employer*

Primary Applicant: Employer Phone Number*

(+1)

Primary Applicant: Job Title*

Primary Applicant: Monthly Income*You may enter an average if there are fluctuations.

Primary Applicant: Length of Employment*How long have you worked here?

Primary Applicant: Other Income per Month

Primary Applicant: Source of Other Income

Secondary Applicant Information

Secondary Applicant Personal Information

Secondary Applicant: Name

First*

Middle

Last*

Secondary Applicant: SSN*

Secondary Applicant: Date of Birth*

Secondary Applicant: Driver's License (front)*

Browse...

No file selected

Secondary Applicant: Email*

Secondary Applicant: Phone Number*

(+1)

Secondary Applicant: Address

Street Address*

Address Line 2

City*

State*

ZIP Code*

Secondary Applicant Housing Information

Secondary Applicant: Housing Status*

Secondary Applicant: Monthly Payment*

Secondary Applicant: How long have you lived at this address?*

Secondary Applicant Income Information

Secondary Applicant: Current Employer*

Secondary Applicant: Employer Phone Number*

(+1)

Secondary Applicant: Job Title*

Secondary Applicant: Monthly Income*You may enter an average if there are fluctuations.

Secondary Applicant: Length of Employment*How long have you worked here?

Secondary Applicant: Other Income per Month

Secondary Applicant: Source of Other Income

Other Information

Additional accessories

Would you like to include the cost of any accessories or options (ex: side rack kit, windscreen, etc.) as part of your loan?

Please list below.*

Additional notes

Is there any other information you would like to add? (ex: if the address on driver's license is not updated, if you have special circumstances relevant to the loan, etc.)

Please list or describe below.*

Acknowledgements

This customer credit application will be submitted to Fulgora's lending partners for consideration of whether it meets their credit requirements.

The applicant(s) hereby authorize(s) an investigation of his/her/their credit and employment history. The applicant(s) understand(s) that his/her/their credit and employment history will be used, along with this customer credit application, in determining his/her/their eligibility for credit approval by Fulgora's lending partners.

The applicant(s) agree(s) that Fulgora and its lending partners may contact him/her/them for any purpose related to this credit application or related products and services.

The applicant(s) hereby certify(ies) that the information contained in this customer credit application is complete and accurate to the best of his/her/their knowledge.

By submitting this application, you are verifying that you have read and are agreeing to the above statements and that you allow Fulgora to apply to its lending partners for credit on your behalf.*

Country/region

Apply for Financing

Financing Application

Vehicle to be Financed

Type of Application

Primary Applicant

Primary Applicant Personal Information

Primary Applicant Housing Information

Primary Applicant Income Information

Secondary Applicant Information

Secondary Applicant Personal Information

Secondary Applicant Housing Information

Secondary Applicant Income Information

Other Information

Additional accessories

Additional notes

Acknowledgements