Page 3 of U-Save Rental Franchise Application by U-Save Car & Truck Rental

personal credit information name of bank or financial institution street address checking account number contact person city state zip savings account number phone number business credit information name of bank or financial institution street address checking account number contact person city state zip savings account number phone number business entity information please indicate one of the following if this is an existing business will the business be guaranteeing the debt to u-save auto rental in addition to existing entity new entity partnership personal guarantees yes llc no please indicate one of the following sole proprietorship limited partnership corporation name of business entity state or country of formation primary business performed by business entity amount of initial working capital available type of initial working capital available date of legal existence 1 2 3 4 personal existing business assets percentage of ownership name of owners partners or members fleet credit lines contact/title/phone number amount 1 chrysler credit corporation 2 gm acceptance corporation 3 ford motor company 4 bank/finance company 5 leasing company by signing below i warrant that all of the information submitted in connection with this application including any financial statements attached to this application are true and accurate as of the date below and i agree to notify u-save auto rental of any material change in my personal business or financial status while the application is pending i understand that this application does not constitute an offer by u-save auto rental to sell a franchise and that this information is being provided to u-save auto rental solely for the purpose of evaluating my personal professional and financial qualifications i consent to and acknowledge that u-save auto rental may obtain additional background information relating to my personal and business records including but not limited to my credit tax litigation property corporate criminal and driving records i consent to and acknowledge that all of the foregoing information may be used by u-save auto rental or third parties to evaluate my qualifications for any lease or finance programs made available through u-save auto rental or such third parties signature spouse s signature date signed date signed

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