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2269 NE 164 STREET, NMB, FL 33160
PATAGONIA
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Home
Financing
Finance Application
Joint Finance Application
Lease Application
Cosigner App – Add Cosigner to Existing Application
Solicitud Para Financiamiento
Solicitud De Financiación Conjunta
Financing FAQ
Extended Warranty
GAP Insurance
FIN GPS
Lease Your Ride
Jet Ski Financing
Meet Our Finance Specialist
Finance Options for Poor Credit
Inventory
Inventory
Sell Your Motorcycle
Test Ride Waiver
Dealer Info
About Us
Directions
Shipping Quote
Shop Policy
CCPA
Contact Us
Newsletter Opt-in
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Step
1
of 3
Lease Application
Name
*
First
Last
***Enter name exactly as it appears on your drivers license
Birth Date
*
Phone
*
Email
*
Social Security Number
*
Credit Score (Rough Guess)
*
Below 600
600 to 650
650 to 700
Over 700
Preferred Contact Method
*
Phone
Email
Current Address (*Florida address only. No out-of-state financing)
*
Address Line 1
Address Line 2
City
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Alaska
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Delaware
District of Columbia
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Idaho
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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State
Zip Code
***If you have more than one address, provide the address you reside at the majority of the time.
Years at Current Address
*
Less than 2 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30+ Years
If less than 2 Years at current address, write exact time at current address
*
Housing Status
*
Rent
Own
Family
Military
Rent/Mortgage Monthly Payment
*
Previous Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years at Previous Address
*
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30+ Years
Previous Housing - Status
*
Rent
Own
Family
Military
Previous Housing - Rent/Mortgage Monthly Payment
*
Next
Employer Name
*
Your Position
*
Work Phone
*
Employer Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years at Current Employer
*
1 or less
1 1/2 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30+ Years
If less than 2 Years at current job, write exact time at current job
*
For example, 1 year 4 months
Gross Monthly Income
*
Name of Previous Employer
*
**Provide previous employer if less than 2 years at current job
Phone of Previous Employer
*
Your Position at Previous Employer
*
Address of Previous Employer
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years at Previous Employer
*
1 or less
1 1/2 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30+ Years
Gross Monthly Income at Previous Employer
*
Other Income (Optional)
Next
Motorcycle Information (Be Specific)
Year
*
Make
*
Model
*
Preferred Downpayment
*
I understand that you will be checking with credit reporting agencies and running my credit. I authorize an investigation of my credit and employment history and the release of information about my credit history
*
By selecting this box, I agree to have my credit checked. I also agree I have read and agree to the
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FL Motorcycle Financing &
Patagonia Motorcycles