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HMC CRDAPP 12/15Applicant’s Initials: __________ / Co-Applicant’s Initials: __________

APPLICANT INFORMATION

Last Name First Name Middle Birthdate Social Security No.

Address (Residence) Unit/Apt.# City State ZIP How Long: Driver’s License No.

Yrs. Mos.

Home Phone Cell Phone Mailing Address (if different from Residence) City State ZIP

Residential Status: Own Rent Parents Other Monthly Rent/Mtg. Pmt. $

Previous Full Address (If less than 3 years) How Long: Email Address:

Yrs. Mos.

EMPLOYMENT and INCOME INFORMATION: Note - Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.

Employer Name /

Self-Employed Monthly Income: $ Length of Employment Occupation

Other Income: $

Source: Yrs. Mos.

Previous Employer Name Length of Employment Occupation

Employer Phone Number

(If less than 3 years) Yrs. Mos.

CO-APPLICANT INFORMATION - This person is a:

Spousal Joint Applicant Joint Applicant Co-signer/Guarantor Non-Applicant Spouse

Last Name First Name Middle Birthdate Social Security No.

Address (If different than Applicant’s) Unit/Apt.# City State ZIP How Long: Driver’s License No.

Yrs. Mos.

Home Phone Cell Phone Mailing Address (if different from Residence) City State ZIP

Residential Status:

Own Rent Parents Other Monthly Rent/Mtg. Pmt. $

Previous Full Address (If less than 3 years) How Long: Email Address:

Yrs. Mos.

Employer Name /

Self-Employed Monthly Income: $ Length of Employment Occupation

Other Income: $

Source: Yrs. Mos.

Previous Employer Name Length of Employment Occupation

Employer Phone Number

(If less than 3 years) Yrs. Mos.

CREDIT and DEBT INFORMATION: If you are married and live in a community property state, or any property that will secure this credit is located in such, the Seller and

AHFC* will assume that all assets and income are community property and all debts are community obligations, unless you indicate otherwise on this application.

Bank Reference: Account No.:

Checking Savings

Type of Loan: Mortgage Payment: $ Balance: $ Creditor:

Auto Payment: $ Balance: $ Creditor:

Has any party to this application been the subject, or subject to bankruptcy proceedings? Yes No If yes, explain:

Has any party to this application ever obtained credit under a different name? Yes No If yes, what name?

Had a vehicle repossessed? Yes No If yes, explain

REFERENCES (Required)

Nearest relative not living with you:

Name Address Phone Relationship

List 2 additional references:

Name Address Phone Relationship

PLEASE PRINT — INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

INSTRUCTIONS: You may apply for credit in your name alone, whether or not you are married.

(1) Will Applicant(s) be principal driver/operator? YES NO

If No, then Name

D.O.B. Relationship

(2) Please indicate whether you are applying Individually, or With another person.

(3) We intend to apply for joint credit

Applicant Initials Co-Applicant Initials

(4) Indicate your marital status here only if: a) you live in a community property state

(AZ, CA, ID, LA, NM, NV, TX, WA, WI), or b) this is a joint application, or c) this is an

application for secured credit.

MARRIED UNMARRIED SEPARATED

(5) If you are applying for credit with another person, please complete all sections.

(6) If you are married and live in a community property state, or any property that will secure

this credit is located within a community property state, please provide information about

your spouse in the “Co-Applicant” section (even if this application is in your name alone).

(7) The collateral being applied for will be used primarily for: (check one)

Personal, family or household use. Business, commercial, or agricultural purposes,

or you are an organization or governmental entity.

CREDIT APPLICATION

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HMC CRDAPP 12/15

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Please read and sign below: By your signature below, you certify that you have completed this application to obtain credit, and that all information provided by you for this application is true, correct and complete. You

understand and agree that this application and related credit information will be forwarded to AHFC* (or other ﬁnancial institution if shown below), and AHFC* may be asked to buy the retail installment contract or

lease involved in this transaction. You authorize AHFC* to share the results of any credit report, credit investigation, or employment investigation (including the information contained in this application) with the Dealer

named below and any other person assisting you in obtaining an extension of credit. You also authorize the Dealer to receive copies of such reports and investigations to: (1) assist you in a loan/extension of credit and

(2) search for ﬁnancing with third party lenders on your behalf. You authorize the Seller/ Lessor, AHFC* and any afﬁliate, agent, service provider or assignee of AHFC* (collectively “We”, “Us” and “Our”) to make inquiries

and obtain information about you as We deem appropriate, including obtaining credit reports, contacting your credit references and/or your employer, investigating your credit and employment history, and contacting

any person or department about your driving record. You also authorize Us to provide credit information about this transaction to others for the purpose of initiating, monitoring, and servicing your account, and for other

legally permissible purposes. You authorize Us to give a copy of this application to anyone who has agreed to pay debts incurred on the basis of this application. If you provided your e-mail address on this application,

you agree that any communications and correspondence to you from any of the parties to this transaction may be effected by e-mail. You agree that if an account is created for you, all of the following will also apply:

(a) AHFC* may monitor and record telephone calls regarding your account to assure the quality of Our service or for other reasons; (b) you expressly consent to AHFC* using prerecorded/artiﬁcial voice messages, text

messages and/or automatic dialing equipment while servicing or collecting your account, as the law allows; (c) you agree that AHFC* may take these actions using the telephone number(s) that you provide Us in this

credit application, you provide to AHFC* in the future, or it obtains from another source, even if the number is for a mobile telephone and/or Our using the number results in charges to you.

You are notiﬁed that your application may be submitted to (Name and Address required):

Applicant’s Signature: Date: Co-Applicant’s Signature: Date:

STATE NOTICES — California Residents: If married you may apply for a separate account. Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all

creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Maine Residents: If your application is approved and credit is granted, you will be required to insure the vehicle against loss or damage. If this application is for a lease, you will also be required to have

liability insurance. You may place this insurance through the agent or broker of your choice, whether or not such agent or broker is afﬁliated with the dealer or holder of your contract. Obtaining insurance from

a particular agent or broker will not affect the credit decision unless the insurance product selected violates the terms of your contract.

Married Wisconsin Residents: No agreement, unilateral statement or court decree relating to marital property adversely affects a creditor’s interest unless prior to the time credit is granted the creditor is furnished

a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. If the credit for which you are applying is granted, your spouse will also receive notiﬁcation that credit has been

extended to you. New York, Rhode Island and Vermont Residents: Consumer reports (credit reports) may be obtained in connection with this application. If you request: 1) You will be informed whether or not

consumer reports were obtained; and 2) If consumer reports were obtained, you will be informed of the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports. If this

application for credit is approved, you authorize AHFC* to request and use subsequent consumer reports in connection with (a) renewals or extensions of this credit; (b) reviewing your credit; (c) for the purpose of

taking collection action on this extension of credit; or (d) other legitimate reasons associated with this extension of credit.

NOTICE OF MAILING OF PRIVACY NOTICES

PRIVACY NOTICE: AHFC Privacy Notice will be mailed to the applicant at the address provided in this credit application five to ten days after funding. The Privacy Notice is also available

at http://www.hondaﬁnancialservices.com/account-management/printable-forms.

DEALER S

DEALER SECTION

Dealer #: Base Price $

Dealer Name: Tax/Title/License $

Dealer Contact: Accessories $

Sales Program: Net Trade $

Complete Honda Model ID#: Cash Down Payment $

Rate: Term: Requested Amount $

Additional Asset Description Year Make/Model VIN/HIN Invoice Amount MSRP

Asset #1:

Asset #2:

Asset #3:

*AHFC means and includes American Honda Finance Corporation, 20800 Madrona Avenue, Torrance, CA 90503

©2011 Honda Financial Services is a DBA of American Honda Finance Corporation and both are service marks of Honda Motor Co., Ltd. Honda, the H-mark symbol, and the Wing logo are trademarks of Honda Motor Co., Ltd.

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