Print Form

Reset Form

CREDIT APPLICATION
RETAIL BALLOON LEASE

Individual Credit - Applying for credit in your own name and relying on your own income or assets, not the income or assets of another person, as the basis for repayment of the credit request spousal Joint Credit - Applying for joint credit with another person. Relationship to applicant: non-Spousal Individual Credit Relying on Other Income - Applying for credit in your own name but relying on income or assets of another person for the repayment of credit requested. Note: If married, the spouse is not required to be the JOINT applicant

DEALER NAME & NUMBER:

Last Date of Birth Street Address How long at address? Yrs Primary Email Address Mos

CONTACT NAME:
Middle Init Last Date of Birth Street Address

APPLICANT INFORMATION
First SSN City Mtg or Rent Payment $

JOINT APPLICANT INFORMATION

First SSN City Mtg or Rent Payment $ Mos

Middle Init

Home Phone Number State Zip

Home Phone Number State Zip

Residential Status How long at address? Lives with Parents Own Yrs Rent Other Primary Cell Phone

Residential Status Lives with Parents Own Rent Other

Previous address (if less than 2 years at present address) Employer Job Title / Occupation Gross Monthly Salary Employer's Address Yrs Yrs Employer Phone Number Mos

Previous address (if less than 2 years at present address) Employer Job Title / Occupation Gross Monthly Salary Employer's Address Yrs Yrs Employer Phone Number Mos

Previous employer name, address, phone number & length of employment (if less than 2 years with present employer) OTHER INCOME NOTE:

Previous employer name, address, phone number & length of employment (if less than 2 years with present employer)

ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE INCOMES DO NOT HAVE TO BE REVEALED UNLESS THE APPLICANT WISHES TO HAVE SUCH SOURCES CONSIDERED AS A BASIS FOR REPAYMENT OF THE REQUESTED. Applicant Source of Other Income (A) Monthly Amount $ Joint Applicant Source of Other Income (B) Monthly Amount $ Total Other Monthly Income (A & B) $

INDICATE RELATIONSHIP OR OWNERSHIP OF ACCOUNT BY X-ING THE APPROPRIATE LETTER: A-APPLICANT, B-JOINT APPLICANT, AND J-JOINT Nearest Relative Name and Address B A Nearest Relative Name and Address Personal Friend Name and Address Personal Friend Name and Address A A A B B B

J J J J

Relative's Phone No. Relative's Phone No. Friend's Phone No. Friend's Phone No.

EACH OF THE UNDERSIGNED APPLICANTS: (1) MAKES THE ABOVE REPRESENTATIONS, WHICH ARE CERTIFIED CORRECT, FOR THE PURPOSE OF SECURING CREDIT; (2) AUTHORIZES HYUNDAI MOTOR FINANCE ("HMF") TO GATHER WHATEVER CREDIT AND EMPLOYMENT HISTORY IT CONSIDERS NECESSARY AND APPROPRIATE, INCLUDING PERIODIC CONSUMER CREDIT REPORTS, AND ALSO TO REPORT INFORMATION CONCERNING ITS CREDIT EXPERIENCE WITH THE APPLICANT TO OTHERS; AND (3) UNDERSTANDS THAT HMF WILL RETAIN THIS APPLICATION WHETHER OR NOT IT IS APPROVED, AND THAT IT IS THE APPLICANT'S RESPONSIBILITY TO NOTIFY HMF OF ANY CHANGES OF NAME, ADDRESS OR EMPLOYMENT. UPON REQUEST, THE APPLICANT WILL BE INFORMED WHETHER A CONSUMER CREDIT REPORT WAS REQUESTED AND THE NAME AND ADDRESS OF THE AGENCY FURNISHING THE REPORT (SEE PAGE 2 FOR OTHER LEGAL NOTICES).

Applicant Signature X DEALER USE ONLY Year New Used Demo Year Trade-in Make

Date: Model

Joint Applicant Signature X RETAIL OR LEASE Mileage (Used Only) CASH PRICE: INCL. TAX, TITLE, REG, AND FEES DOWN PAYMENT: CASH / NET TRADE REBATE UNPAID BALANCE OR CAP COST: Invoice $ or MSRP Term

Date:

$ $ $ $
APR or Factor Payment $

Make

Model

Mileage

Amount $

Owed $

Payment $

Financed With

Credit Application HMF.2.11-08-01

FAIR CREDIT REPORTING ACT NOTICE TO CONSUMER: THIS WILL ADVISE YOU THAT YOUR MOTOR VEHICLE RETAIL INSTALLMENT CONTRACT AND RETAIL CREDIT APPLICATION WILL BE SUBMITTED TO HYUNDAI MOTOR FINANCE, (800) 523-4030, OR OTHER FINANCING INSTITUTIONS FOR CONSIDERATION AS TO WHETHER YOU MEET ITS CREDIT REQUIREMENTS FOR PURCHASE. NOTICE TO OHIO APPLICANTS: THE OHIO LAWS AGAINST DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO ALL CREDIT WORTHY 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. NOTICE TO WISCONSIN APPLICANTS: NO PROVISIONS OF A MARITAL PROPERTY AGREEMENT, A UNILATERAL STATEMENT WHICH CLASSIFIES THE INCOME ATTRIBUTABLE TO ALL OR CERTAIN OF ONE SPOUSE'S PROPERTY OTHER THAN MARITAL PROPERTY AS INDIVIDUAL PROPERTY, OR A COURT DECREE, WILL ADVERSELY AFFECT THE INTERESTS OF THE CREDITOR UNLESS THE CREDITOR, PRIOR TO THE TIME CREDIT IS GRANTED, IS FURNISHED A COPY OF THE AGREEMENT, STATEMENT OR DECREE, AS THE CASE MAY BE, OR THE CREDITOR HAS ACTUAL KNOWLEDGE OF THE ADVERSE PROVISION WHEN THE OBLIGATION TO THE CREDITOR IS INCURRED. NOTICE TO CALIFORNIA APPLICANTS: APPLICANT, IF MARRIED, MAY APPLY FOR A SEPARATE ACCOUNT. NOTICE TO MAINE APPLICANTS: NO PERSON IS REQUIRED AS A CONDITION TO FINANCING THE PURCHASE OF A MOTOR VEHICLE TO PURCHASE INSURANCE THROUGH A PARTICULAR INSURANCE COMPANY, AGENT OR BROKER. NOTICE TO NEW YORK APPLICANTS: IN CONNECTION WITH YOUR APPLICATION A CONSUMER REPORT MAY BE REQUESTED AND UPON APPLICANT'S REQUEST, APPLICANT WILL BE INFORMED WHETHER OR NOT THE CONSUMER REPORT WAS REQUESTED AND FURNISHED THE NAME AND ADDRESS OF THE CONSUMER REPORTING AGENCY THAT FURNISHED THE REPORT. For Married Wisconsin Resident: The credit being applied for, if granted will be incurred in the interest of my marriage or family. I understand the creditor may be required by law to give notice of this credit transaction to my spouse. Spouse's name and address:
(page 2 0f 2)

Credit Application HMF.2.11-08-01