PERSONAL CREDIT APPLICATION

APPLICANT INFORMATION

EMPLOYMENT INFORMATION

OTHER ASSETS OR SOURCES OF INCOME

CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNT

EMPLOYMENT INFORMATION

AUTO LOANS

Equal Credit Opportunity Act Notice: If Xcelerate Auto, LLC. takes adverse action on this application, the applicant has a right to a written statement of the specific reasons for the decision. To obtain the statement, the applicant must contact Xcelerate Auto, LLC. at the above address within 60 days from the date of the notification by Xcelerate Auto, LLC. of the decision. Xcelerate Auto, LLC. will send the Applicant a written statement for the adverse action within 30 days of receiving the request.

NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the consumer credit protection act. The federal agency that administers compliance with this law concerning this creditor is the FDIC Consumer Response Center, 2345 Grand Boulevard, Suite 100 Kansas City Missouri 64108.

USA Patriot Act Notice: IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT AT XCELERATE AUTO, LLC.

To help the United States Government fight terrorism and money laundering, Federal law requires us to obtain, verify and record information that identifies each business or entity, which opens an account or establishes a relationship. What this means for you: when you open an account or establish a relationship, we will ask for your business name, a street address and a tax identification number or other identifying documents that will assist us to identifying and/or verify your business. We appreciate your cooperation.