Personal Credit Application

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Applying for2021 EZ GO TXTStock #40751 · $6,399.00

Fields marked * are required. Your progress is saved on this device, except Social Security, birth date, license and signature details.

1About you

First name

Middle name

Last name

Phone

Confirm email

Date of birth

Social Security number

Gross monthly income

Driver's license number

License expiration

Driver's license: front photo A clear photo or PDF. Big phone photos are shrunk before sending.

Driver's license: back photo A clear photo or PDF. Big phone photos are shrunk before sending.

2Where you live

Current address

Apt, unit, etc.

City

State

Zip

County

Housing

Monthly payment

Years at address

Months at address

Previous address Required if less than 2 years at your current address

Street address

Apt, unit, etc.

City

State

Zip

Years there

Months there

3Where you work

Employer's name

Occupation

Employer phone

Years employed

Months employed

Previous employer Required if less than 2 years at your current job

Employer's name

Employer phone

Years employed

Months employed

Alimony, child support, or separate maintenance income need not be disclosed unless you wish to have it considered as part of your income.

Other income source

Other income per month

4Co-applicant

Add a co-applicant

5The trailer

Our stock #

Year

Make

Model

Selling price

Cash down

Salesperson

Trading something in? Optional

What are you trading in?

Trade-in amount

Lien holder

Current payment

Payoff total

6Sign and send

Your signature *

By signing above I authorize Leonard Truck & Trailer, Inc. and any lender it forwards this application to, to obtain a consumer credit report and to verify the information provided in this application. I certify the information given above is true and complete. I understand this is a credit application and not a commitment to extend credit. Disclosure 2026-07-01-v1