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Client Portal

Welcome to your Client Portal

Please login to your Client Portal to be able to view your documents

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At Champagne, we provide dependable, well-maintained vehicles for every journey—whether it’s a quick city drive, a weekend getaway, or a long-term lease.

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Contact

917-771-1114 , 347-208-8095
info@champagneautoleasing.com
4442 Arthur Kill Rd Suite 3B Staten Island, NY 10309 United States

© 2026 champ.genix Reliable Cars. All rights reserved.

STEP'S Of Credit Application

1. APPLICANT INFORMATION
2. EMPLOYMENT & INCOME
3. ADDRESS
4. VEHICLE REQUEST
5. CO-SIGNER (IF APPLICABLE)

1. Full Legal Name

Date of Birth *

Phone Number

Email Address

SSN

2. Employer Name

Job Title

Time on Job

Monthly Gross Income

Pay Frequency

3. Street Address

City / State / ZIP

Time at Address

4. Lease or Finance

Vehicle / Budget

Down Payment

Trade-In (Yes/No & Details)

5. Co-Signer Name

DOB

Phone / Email

Monthly Income

SSN

I authorize Champagne Leasing to obtain my credit report for the purpose of securing vehicle financing or leasing. I certify the information provided is true and accurate and consent to be contacted via phone or text regarding this application