Bad Boy Buggies Fax Financial Application Form     ( * )  required
Please fax to 949-861-6377
 Application Type: ____ I am a Dealer    ____ I am an Individual
* Applicant Name: ______________________________________
* Social Security # _____________________
* Date Of Birth: _____________
* Home Phone: _____________________
* Address: _________________________________
* City: _________________________________
* State: ____________________
* Zip: _____________
* Email Address: ______________________________________
Co Applicant Name: _______________________________   (Optional)
Co Applicant Date of Birth ________________   (Optional)
Co Applicant Social Security #: ________________   (Optional)
* Do you rent or own your home: ____ Rent      ____ Own
* Monthly Payment: __________________
* Mortgage Holder/Landlord: _________________________________________
* Employer: _________________________________________
* Employer Address: _________________________________________
* How Long Employed: _____________
* Applicant Gross Income: _____________
* Employer Phone Number: ________________
* Total Gross Household Income: ________________
 Equipment To Be Purchased: ______________________________________
 New or Used: New   Used
 Price: __________________
 Tax: __________________
 Down Payment: __________________
 Amount Financed: __________________
 Type of Program: ____________________________
 

By signing, the applicant authorizes review of his/her
credit profile from a national credit bureau.

Signature  _________________________________________    Date: __________
APPLICATION FEE ONLY APPLIES UPON APPROVAL - NOT WHEN APPLYING