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Civilian Financing Application ORIG

Government issued, unexpired photo identification presented at time of application, to be completed by sales rep/office.

Primary Customer

Secondary Customer

Monetary Client Information

Loan Information (requested LOAN AMOUNT must equal TOTAL SALE minus DOWN PAYMENT)

Please note: all fields with asterisk (*) are required

Government issued, unexpired photo identification presented at time of application, to be completed by sales rep/office.

* Two different phone numbers are required *

(you may be asked to provide proof)

Other source of income and amount. Please note, such income need to be revealed if the applicant does not want the creditor to consider it in determining the applicant's creditworthiness.

Please note: all fields with asterisk (*) are required

Government issued, unexpired photo identification presented at time of application, to be completed by sales rep/office.

We intend to apply for joint credit:

* Two different phone numbers are required *

(you may be asked to provide proof)

Other source of income and amount. Please note, such income need to be revealed if the applicant does not want the creditor to consider it in determining the applicant's creditworthiness.

References - Please list three personal references

Name Phone No. 1 Phone No. 2 Relationship to you length of time known Email address Street Address

I am providing the information in this application to SYNCB and to dealers/merchants/retailers that accept the Card and program sponsors (and their respective affiliates) I also provide my consent for SYNCB to provide information about me (even if my application ts declined) to dealers/merchants/retailers that accept the Card and program sponsors (and their respective affiliates) so that they can create and update their records and provide me with service and special offers SYNCB may obtain information from others about me (including requesting reports from consumer reporting agencies and other sources) to evaluate my application, and to review, maintain or collect my account.

I consent to SYNCB. and any other owner or servicer of my account, contacting me about my account including through text joint automatic telephone dialing systems and/ or artificial or prerecorded voice calls for informational, servicing or collection related communications as provided in the Address/Phone Change and Consent To communications provisions of the SYNCB Credit Card agreement ('Agreement") I also agree to update my contact information.I have received read and agree to the credit terms and other disclosures in this application and I understand that if my application is approved, the Agreement will be sent to me and will govern my account Among other things, the Agreement (1) includes a resolving a dispute with arbitration provision that limits my rights unless I reject the provision by following the provision's instructions: and (2) makes each applicant responsible for paying the entire amount of the credit extended.