Name:    Social Security:   (123456789)  DOB:   (01/23/1967)

Address:    City:    State:    Zip:  

Rent Own/Buying Lives w/ others   Mortgage/Rent Payment:    Years:    Months:  

Previous Address (if current is less then 2 years):   City:   State:   Zip:  

Employer:    Address:    City:   State:    Zip:  

 Years:    Months:    Monthly Income (gross):    Other Income:    Source of Other:

Home Phone:   (1234567890)  Work Phone:   (1234567890)

Previous Employer (if current is less then 2-years)    Years:    Months:  

I am interested in a   Select Vehicle of Interest Jetta Passat Touareg Beetle Beetle Convertible Golf GTI and would like to borrow   (whole number) for   Term 72 60 48 36 24   or ......

I would like to lease this vehicle for the selected term

CONSUMER REPORT: I authorize and understand a consumer report may be requested in connection with this application or in connection with updates, renewals, extensions, or enforcements of any credit granted as a result of this application.
If I ask, I will be told whether or not a consumer report(s) was/were obtained, and if such report(s) was/were obtained, told the name and address of the consumers reporting agency that gave the report(s). CREDIT INVESTIGATION: I authorize
the selling dealer and any lending institutions to start a credit investigation based upon the above information, which was voluntarily provided by me/us. I also authorize any lending institutions to refer this information about me to their respective non-affiliated financial service marketing partners in order to offer me a credit card. If I do not receive an offer from this referral, the financial services marketing partners may learn information about me because only applicants with certain characteristics will be referred. The information I provided above is true and accurate. BANKRUPTCY: A bankruptcy proceeding is not presently in process nor expected. FAIR CREDIT REPORTING ACT DISCLOSURE: This credit application for credit sale may be considered by the dealer and any lending institutions as to whether it meets purchase requirements. RHODE ISLAND RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals, extensions or enforcements of any credit granted as a result of this application. Upon your request you will be informed whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report. You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer must be approved by the creditor. MASSACHUSETTS RESIDENTS: Massachusetts law prohibits discrimination on the basis of marital status or sexual orientation. Further more, I state that I am of legal age to enter into a automobile loan contract, 18, where I reside.

I have read and agree to the above information   (this application will not be processed if this box is not checked)