Performance Cycle
941 Ridge Road · Webster, New York 14580
585 / 671-5260 · Fax 585 / 671-5996

Use this form to qualify for financing approval. Please fill out the information completely. If the form is incomplete, we may not be able to process the information accurately. If you prefer, you can print the form and FAX it to us at: 585/ 671-5996

By completing this form, you are authorizing Performance Cycle to process a credit check with various credit bureaus.

If you have any questions about this form we will be happy to help you through the process. Call 585/ 671-5260

FINANCE APPLICATION
Check one applicable box (primary applicant and joint applicants must complete separate forms):
Primary Applicant - applying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.
Joint Application - applying for joint credit with another person. * If joint application, please state relationship to applicant. - Married - Parent - Other
Last Name		First Name	MI
No. of dependents	Age	Date of Birth (MMDDYY)
Present Address (Street and Number):
City State Zip Code
(Area Code) + Home Phone (Area Code) + Work Phone		Own Buying Lease/Rent Family Other
		Time at Address: YRS MOS
		Drivers License No. & State:
Name and address of landlord or mortgage holder:			Rent or Mtge pmt:
Previous Address - Street, City, State and Zip (if less than 2yrs. at present):			Lived There: Yrs.
Level of Education (if under age 27): 4-year college grad 2-year college grad Special Training Some College High School Grad.? Yes No
Current Employer - Name, City and State: Occupation: - if Military, state rank: Time On Job: YRS MOS			Gross Salary:	Weekly Monthly Yearly
Social sec No. Source of other Income: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.			Other Income:	Weekly Monthly Yearly
Previous Employer - Name, City and State: (if less than 5 yrs. at current)			Time On Job: YRS MOS
Name of Bank:		Type Of Account: Checking & Savings Checking Only Savings Only No Account
Have you ever had a car or other merchandise repossessed? YesNo If yes, when? MO YR		Have you ever filed for bankruptcy?YesNo If yes, when? MO YR
Is applicant obligated to make alimony, child support or separate maintenance payments? YesNo If yes, amount to be paid each month is?
Creditor's Name and City/State (Current - Previous cars financed by or leased through) Date Opened Mo Payment Amt. 1. 2. Creditor's Name and City/State (Other Credit) Date Opened Mo Payment Amt. 3. 4.
Name and address of applicant's nearest relative/friend not in household Phone No. Relationship 1. 2. 3. For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I (applicant) authorizes you, to check my credit and employment history and to provide and/or obtain information about credit experience with me. Applicant Name/Date:

Click on the Submit button if you are ready to send your data to Performance Cycle for processing. Your personal information will be handled in strict confidence for the sole purpose of financing the purchase of a motorcycle.
If you would like to clear ALL of the information in the application and start over, press the Reset button.