Page 5 of U-Save Rental Franchise Application by U-Save Car & Truck Rental

personal financial statement cont d schedule a u.s government securities bonds marketable and control securities owned no of shares or face value description in name of market value schedule b real estate mortgages receivable secured by real estate mtg deeds of trust description of property date acquired title in name of amount maturity schedule c real estate owned description of property date acquired title in name of cost market value mortgage amt mtg maturity schedule d life insurance including group insurance amount name of company beneficiary csv loans schedule e assets pledged or encumbered by lien or security interest description value to whom pledged past or present finance sources outstanding source loan officer active since high credit balance interest rate guarantor the undersigned hereby authorized u-save auto rental of america inc to obtain and exchange credit data warrants that all information contained in this application is true and accurate and agrees to notify u-save of any material change in this information during the pendency of this application signature spouse s signature date signed date signed

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