LAST NAME (PRINT) FIRST MIDDLE INITIAL DATE OF BIRTH

DRIVER LICENSE NO. STATE SOCIAL SECURITY NO.

CURRENT ADDRESS CITY STATE ZIP RESIDENCY STATUS �Rent �Own �Live with relatives �Other

TIME AT ADDRESS

YRS MOSHOME PHONE

( )MORTGAGE PAYMENT OR RENT (PER MO.)

$MORTGAGE COMPANY

CELL PHONE

( )EMAIL ADDRESS

EMPLOYER OCCUPATION

BUSINESS PHONE

( )EMPLOYMENT STATUS �Full-time

�Part-time �Self

�Unemployed �Retired �Student

�Military �Other ______________________

TIME EMPLOYED

YRS MOS

SECTION A. Applicant Information

INCOME:Applicant’s gross monthly income from employment …………………………………………………………………………………………………………………………………………………… $___________________

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.

Alimony, child support, separate maintenance received under: court order � written agreement � verbal agreement � Amount $___________________

Amount of other monthly income and source(s) ……………………………………………………………………………………………………………………………………………………… $___________________

TOTAL MONTHLY INCOME $___________________SECTION B. Vehicle InformationYEAR MAKE MODEL VIN

XAPPLICANT'S SIGNATURE DATE

XCO-APPLICANT'S SIGNATURE DATE

Page 1 of 2 REVISION DATE: 06/16

IMPORTANT: READ THESE DIRECTIONS BEFORE COMPLETING THIS APPLICATION.CHECK APPROPRIATE BOX:

If you are applying for individual credit in your own name and are 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, complete Sections A and B. Do not complete Section C.

If this is an application for joint credit with another person, complete all sections, providing information in Section C about the co-applicant.

We intend to apply for joint credit.

If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all sections to the extent possible, providing information in Section C about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

APPLICANT INITIALS CO-APPLICANT INITIALS

Credit Application

SECTION C. Co-Applicant Information

INCOME:Co-Applicant’s gross monthly income from employment ………………………………………………………………………………………………………………………………………………… $___________________

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.

Alimony, child support, separate maintenance received under: court order � written agreement � verbal agreement � Amount $___________________

Amount of other monthly income and source(s) ……………………………………………………………………………………………………………………………………………………… $___________________

TOTAL MONTHLY INCOME $___________________

LAST NAME (PRINT) FIRST MIDDLE INITIAL DATE OF BIRTH

DRIVER LICENSE NO. STATE SOCIAL SECURITY NO.

CURRENT ADDRESS CITY STATE ZIP RESIDENCY STATUS �Rent �Own �Live with relatives �Other

TIME AT ADDRESS

YRS MOSHOME PHONE

( )MORTGAGE PAYMENT OR RENT (PER MO.)

$MORTGAGE COMPANY

CELL PHONE

( )EMAIL ADDRESS

EMPLOYER OCCUPATION

BUSINESS PHONE

( )EMPLOYMENT STATUS �Full-time

�Part-time �Self

�Unemployed �Retired �Student

�Military �Other ______________________

TIME EMPLOYED

YRS MOS

The words “you,” “your” and “yours” mean each person submitting this application. “We,” “us,” “our,” and “ours” refers to the dealer and finance company. You represent that all information contained in this application for credit is true, complete, and correct. You understand we will rely on the truth of the foregoing statements in granting credit to you. You authorize us to verify your employment and income and all other information you have provided, and obtain information about you from the credit bureaus, other creditors, employers, federal and state records (including state motor vehicle departments), and other third parties. You authorize us to submit this application and any other application submitted with this transaction to the finance companies disclosed to you by us the dealer. You authorize that such finance companies may submit your applications to other finance companies for the purpose of fulfilling your request for credit. You agree that we may obtain a consumer credit report periodically from the credit reporting agencies in connection with the proposed transaction. You understand that we will retain this application whether or not it is approved.

CALLING AGREEMENT: You agree that GM Financial, its affiliates, or your selected dealer, and those acting on its/their behalf, may call or text you using an automatic telephone dialing system and/or an artificial or prerecorded voice. Without limit, these calls may be about servicing, payment or billing. Your phone carrier’s voice, message and data rates may apply. We may also contact you at any email address you provide to us. You may revoke your consent for any telephone number or email address you have provided by contacting us.

BY SIGNING, I CERTIFY THAT I HAVE READ AND AGREE TO THE TERMS AND DISCLOSURES ON PAGES 1 AND 2 OF THIS APPLICATION.

STATE Disclosure

California Resident Applicant, if married, may apply for a separate account.

Maine Resident You must have physical damage insurance covering loss or damage to the vehicle for the term of any contract. For a lease, you must also have the liability insurance as described in the lease. You may buy this insurance from anyone you choose. You do not have to buy it from or through someone affiliated with the dealer or an assignee of this contract. Your choice of insurance will not affect the credit approval process unless the insurance does not satisfy the contract requirements or the insurance company does not satisfy the reasonable standards of the dealer or an assignee of the contract.

New Hampshire Resident If you are applying for a balloon payment contract, you are entitled, if you ask, to receive a written estimate of the monthly payment amount for refinancing the balloon payment in accord with the creditor’s existing refinance programs. You would be entitled to receive the estimate before you enter into a balloon payment contract. A balloon contract is an installment sale contract with a final scheduled payment that is at least twice the amount of one of the earlier scheduled equal periodic installment payments.

New York Resident Consumer reports may be requested in connection with this application. Upon your request, you will be informed as to whether or not a consumer report was requested and informed of the name and address of the consumer reporting agency that furnished the report. On any update, renewal or extension of this credit, subsequent consumer reports may be requested without further notice to you.

Ohio Resident 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.

Rhode Island Resident You must have physical damage insurance covering loss or damage to the vehicle for the term of any contract. For a lease, you must also have the liability insurance as described in the lease. You may buy this insurance from anyone you choose. You do not have to buy it from or through someone affiliated with the dealer or an assignee of this contract. Your choice of insurance will not affect the credit approval process unless the insurance does not satisfy the contract requirements or the insurance company does not satisfy the reasonable standards of the dealer or an assignee of the contract. A credit report may be requested in connection with this application.

Tennessee Resident You must have physical damage insurance covering loss or damage to the vehicle for the term of any contract. For a lease, you must also have the liability insurance as described in the lease. You may buy this insurance from anyone you choose. You do not have to buy it from or through someone affiliated with the dealer or an assignee of this contract. Your choice of insurance will not affect the credit approval process unless the insurance does not satisfy the contract requirements or the insurance company does not satisfy the reasonable standards of the dealer or an assignee of the contract.

Vermont Resident You authorize us and any financial service provider with whom this application is shared, and each of their respective employees or agents, to obtain and verify information about you (including one or more credit reports, information about your employment and banking and credit relationships) that they may deem necessary or appropriate in evaluation of your credit application. If your application is approved and credit is granted, you authorize the parties granting credit and/or holding your account, and their respective employees and agents, to obtain additional credit reports and other information about you in connection with reviewing the account, increasing the available credit on the account (if applicable), taking collection on the account, or for any other legitimate purpose.

Wisconsin Resident If you are making this credit application individually and not jointly with your spouse, please complete the following:

Please Indicate:

� Married

� Unmarried (includes single, divorced, widowed)

� Separated

If married or separated and spouse is not a co-applicant, please provide:

Non-applicant spouse’s name _________________________________

Non-applicant spouse’s address _________________________________

Your non-applicant spouse should not sign the credit application if you are applying for individual credit.

Notice: The interest of the creditor will not be adversely affected by a provision of a marital property agreement, a unilateral statement under Wisconsin Statutes § 766.59 or a court decree under Wisconsin Statutes § 766.70, unless you furnish a copy of such agreement, statement or decree to the creditor, or the creditor has actual knowledge of such provision before credit is granted.

Page 2 of 2 REVISION DATE: 06/16