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.
GENERAL NOTICE FOR LEASE TRANSACTIONS
Notice is hereby given that Honda Lease Trust has assigned all of its rights (but not its obligations) to purchase and/or sell this vehicle to Honda
Finance Exchange, Inc. pursuant to the Sub-Servicing and Master Exchange Agreement. Notice for New York and Virginia Residents: The Trust
designation is HVT, Inc., as Trustee for Honda Lease Trust.
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.
Nearest relative not living with you:
Name Address Phone
List 2 additional references:
Name Address Phone
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.
*AHFC means and includes American Honda Finance Corporation and Honda Lease Trust, 20800 Madrona Avenue, Torrance, CA 90503
You are notiﬁed that your application may be submitted to (Name and Address required):
Dealer Name Dealer #: Dealer Contact Person:
Year Make Model # MSRP
Cap. Cost Red.
Adj. Cap. Cost
Cash Price: Sales Tax:
Trade-In Amount Amount Financed
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