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Credit Application
Home
Inventory
Side x Side
ATVs
Contact Us
Deals
Credit Application
Credit Application
August 7, 2019
By
Mariposa Interactive
Apply for Credit with Planet Cycle
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Name
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First
Last
Email
*
Phone Number
*
Physical Address
*
The address you currently live at.
City
*
What city do you live in?
State
*
What state do you live in?
Zip Code
*
The zip code of your physical address.
How long have you lived at the address above?
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If not 100% sure, give your best estimate.
Current Employer
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Where are you currently employed?
Employer's City
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In what city is your employer located?
Employer Phone
A number we can contact your employer at. Leave blank if you aren't sure.
How long have you been employed at the employer above?
*
If not 100% sure, give your best estimate.
Nearest Relative (Name)
*
The name of a close relative or friend.
Nearest Relative (Phone)
*
The phone number of a close relative or friend.
Nearest Relative (City)
*
The city your nearest relative or friend lives in.
Gross Monthly Income
*
After taxes, how much money do you take home?
Do you Rent or Own your home?
*
Rent
Own (mortgage included)
Date of Birth
*
MM/DD/YYYY
Social Security Number
*
Which of our vehicles are you interested in?
*
Let us know which vehicle you're interested in purchasing.
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Sales: (912) 739-1110