Galpin-Lotus
Sales (800) 319-0297 break Service (800) 256-6219 break 15500 Roscoe Blvd., Van Nuys, CA 91406
 
 
 

Request Financing

Please complete the information below and one of our financing experts will be in contact with you soon.
Use the right column only if you are using a joint applicant.
Salesperson
Primary Applicant Information | Joint Applicant Information
First Name *
First Name
Last Name *
Last Name
Date of Birth *
Date of Birth
Social Security Number *
Social Security Number
Driver's License  *
Driver's License
Home Phone *
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Home Phone
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Cell Phone
Cell Phone
Email *
Email
Primary Applicant Address Information Joint Applicant
Address *
Address
City *
City
State *
State
Zip Code *
Zip Code
Lived there (years) *
Lived there (years)
Lived there (months) *
Lived there (months)
Name of Landlord or Mortgage Holder
Name of Landlord or Mortgage Holder
Rent or Mortgage Payment *
Rent or Mortgage Payment
Do you: *
Own Home Outright

Buying Home

Living with Relatives

Leasing/Renting

Own/Buying Mobile Home

Do you:
Own Home Outright

Buying Home

Living with Relatives

Leasing/Renting

Own/Buying Mobile Home

Primary Applicant Previous Address
(If less than 2 years at present address)
Joint Applicant
Address *
Address
City *
City
State *
State
Zip Code *
Zip Code
Lived there (years)
Lived there (years)
Lived there (months)
Lived there (months)
Primary Applicant Employment Information Joint Applicant
Current Employer *
Current Employer
Occupation/Job Title *
Occupation/Job Title
Gross Monthly Salary *
Gross Monthly Salary
Time on Job (years) *
Time on Job (years)
Time on Job (months) *
Time on Job (months)
Work Phone *
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Work Phone
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Primary Applicant Previous Employer
(If less than 5 years at present employer)
Joint Applicant
Previous Employer
Previous Employer
Occupation
Occupation
Time on Job (years)
Time on Job (years)
Time on Job (months)
Time on Job (months)
Other Income
Other Income
Source of Other Income
Source of Other Income
Primary Applicant Other Information Joint Applicant
Name of Bank
Name of Bank
Type of account *
Checking & Savings

Checking Only

Saving Only

No Account

Type of account
Checking & Savings

Checking Only

Saving Only

No Account

Level of Education (required if under 27)
Non-High School Grad

High School Grad

Some College

Special Training

2-Year College

4-Year College

Level of Education (required if under 27)
Non-High School Grad

High School Grad

Some College

Special Training

2-Year College

4-Year College

NOTICE TO APPLICANTS: Please read this important information before submitting this Request for Financing. By typing your name below and clicking Submit Request, you are agreeing to be bound by the Terms and Conditions of this Request for Financing and each of the statements below.

I certify that all representations contained in this Request for Financing are true and correct.

I understand and agree that, by submitting this Request for Financing, I hereby authorize Galpin Motors, Inc. and its affiliates to gather whatever credit and employment history information it considers necessary or appropriate, which may include my consumer report. I also authorize Galpin Motors, Inc. and its affiliates to provide such credit and employment history information, which may include my consumer report and credit score, to others as it deems necessary or appropriate. Recipients may include, without limitation, any or all of the financial institutions listed here. This notification is provided pursuant to the Fair Credit Reporting Act.
I understand that, even if I am married, I may apply for a separate account, but if both my spouse and I are both applying for credit, we must each type our names below.
I understand that alimony, child support or separate maintenance income need not be disclosed if I do not wish to have it considered as a basis for repaying this obligation.
I have read the Privacy Policy for the Galpin auto dealerships, and the Terms and Conditions of this Request for Financing.

I certify that, if this Request for Financing includes Joint Applicant information, both the Primary and Joint Applicants agree to the Terms and Conditions and each of the statements below.

IF YOU WANT A COPY OF YOUR REQUEST FOR FINANCING, PLEASE PRINT THIS PAGE BEFORE CLICKING THE SUBMIT REQUEST BUTTON.
Signature (type your name here) *
Signature (type your name here)
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COPYRIGHT © 2011 GALPIN MOTORS, INC. ALL RIGHTS RESERVED. PRIVACY POLICY | SITE MAP | AUTO DEALER WEBSITES BY JAZEL 15500 ROSCOE BLVD., VAN NUYS, CA 91406

Galpin Lotus - New Lotus Sales, Service & Used Cars in Van Nuys, CA


Galpin Lotus is bringing you some of the most exquisite sports cars ever made.  Our inventory includes the Lotus Elise, Lotus Evora and Lotus Exige. Browse our New Lotus Inventory to see MSRP pricing, trim levels and vehicle details. Be sure to also visit our Specials at Galpin Lotus page for current offers on Lotus and other luxury models available through the Galpin Motors family of dealerships. 

If you are searching used vehicles in Los Angeles, take a look at the Galpin Lotus Used Inventory
pages where you will find a wide array of pre-owned vehicles to fit every lifestyle and budget. Many of these used vehicles are Certified Pre-Owned Models, only a few years old and are backed with extended factory warranties.

Learn how easy it is to secure financing for a new Lotus or used car with the help of our Finance
Center experts. Or use our convenient Apply for Financing option and Estimate Payments tools online to determine your financing options and monthly payment amounts. For Lotus Service and Repair or genuine Lotus Parts & Accessories Galpin Lotus is your one stop shop. Our certified technicians and parts specialists will keep your Lotus in excellent condition. 

Galpin Lotus is a preferred luxury sport vehicle dealership in Los Angeles County and
is proud to be of service to the residents of Van Nuys, San Fernando Valley, Burbank, Simi Valley, Granada Hills, Northridge, Hollywood, Sun Valley, Calabasas and surrounding Los Angeles communities. Our beautiful Lotus Showroom is located at 15500 Roscoe Blvd., Van Nuys, CA 91406

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