Needs & Analysis
Vehicle Desired?
Any Money Down?
Delivery Date Desired?
What Monthly Payment Is Desired?
What Term?	2 Yr.   3 Yr.   4 Yr.   5 Yr.   Other
Anticipated Miles Per Yr.?
Lease or Loan?
Have You Negotiated A Price With A Dealer?	Private Party?
What Is the Price Before Tax and License?

Credit Application
Thank you for using the Golden Bear Auto Leasing online credit application. Please provide all of the requested information. When you have completed the form, press the SUBMIT button to send your application. Your credit application will be sent to Golden Bear Auto Leasing at howard2lease@earthlink.net. You will hear back from us by the end of the next business day. If you prefer to send us your application via fax or mail, click here for a print version of the form. Please print off the form and fill in all of the requested information. When you are done, submit your application by fax or mail: Golden Bear Auto Leasing Contact Information Fax: 925.934.1453 Mail: 1250 Pine St.,Walnut Creek, CA 94596
CREDIT APPLICATION	IMPORTANT:READ THESE DIRECTIONS BEFORE COMPLETING THIS APPLICATION

Check Appropriate Box

If you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of         another person as the basis for repayment of the credit requested, complete Section A and C. If you are married and live in a community property state, complete all Sections including Section B providing information about your spouse. If this is an application for joint credit with another person, complete all Sections providing information in Section B about the CO-applicant.

NOTE: APPLICANT, IF MARRIED, MAY APPLY FOR A SEPARATE ACCOUNT.

						AMOUNT FINANCED
						$
SECTION A. Information Regarding Applicant:

INCOME:
	Applicant's gross monthly income from employment ..................................................................................................................................	$
	Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
	Alimony, child support, separate maintenance received under:
	court order        written agreement       verbal understanding       Amount	$
	Amount of other monthly income and source(s)..........................................................................................................................................	$
SECTION B. Information Regarding Spouse, or CO-Applicant (Use separate sheets if necessary.)   TOTAL MONTHLY INCOME		$

INCOME:
	Joint Applicant's gross monthly income from employment..........................................................................................................................	$
	Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
	Alimony, child support, separate maintenance received under:
	court order        written agreement       verbal understanding       Amount	$
	Amount of other monthly income and source(s).......................................................................................................................................	$
TOTAL MONTHLY INCOME		$
SECTION C. Asset and Debt Information: List All Debts including alimony, Child Support, Separate Maintenance. (Use a Separate Page If Necessary.)
(If Section B has been completed, this Section should be completed giving information about both the Applicant and Joint Applicant or Other Person. Please mark Applicant-related information with an "A". If Section B was not completed, only give information about the Applicant in this Section.)

							$		$
				$	$		$		$

									$
									$
									$

	Notice: No person is required as a condition pursuant to financing the purchase of a motor vehicle to purchase insurance through a particular insurance company, agent or broker.

						$

In the following sentence, the applicant/co-applicant is referred to as "I" and the creditor is referred to as "you and your". I, the undersigned (1) make the above representations, which are certified correct, for the purpose of securing credit; (2) authorize financial institutions to obtain consumer credit reports on me periodically and to gather employment history as they consider necessary and appropriate; (3) authorize your affiliates to obtain consumer credit reports on me; (4) UNLESS THE CHECKBOX THAT FOLLOWS IS CHECKED, I AUTHORIZE THE DEALER'S ASSIGNEE TO SHARE AND USE INFORMATION ABOUT ME, INCLUDING INFORMATION IN MY APPLICATION, WITH OTHER ENTITIES THAT ARE RELATED TO IT BY COMMON OWNERSHIP OR AFFILIATED WITH IT BY COMMON CONTROL. IF THE CIRCLE IS MARKED, I DIRECT THE DEALER'S ASSIGNEE NOT TO GIVE INFORMATION TO SUCH ENTITIES (OTHER THAN INFORMATION ON ITS OWN TRANSACTIONS AND EXPERIENCES.) ; (5) Understand, that you or any financial institution to whom it is submitted will retain this application whether or not it is approved, and that it is the applicant's responsibility to notify the creditor of any changes of name, address or employment. The financial institutions named below may be requested to purchase a sales finance contract written, or to be written, in connection with your purchase. You are notified pursuant to the Fair Credit Reporting Act, that your application may be submitted to them or to other financial institutions.

FINANCIAL INSTITUTION(S)
ADDRESS

PURCHASER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS CREDIT STATEMENT
x	x
APPLICANT'S NAME	CO-APPLICANT'S NAME

FORM NO. 750S (REV. 10/97) LAW PRINTING AUTOMOTIVE PRODUCTS CALL (800) 422-3102 The printer makes no warranty, express or implied, as to content or fitness for this form. Consult your own legal counsel.