Horsepower: More Bike for Your Buck

APPLICANT ACCOUNT INFORMATION

First name

Middle name (optional)

Last name

Email

Password

Confirm Password

APPLICANT INFORMATION

First name

Middle name (optional)

Last name

Date of birth

SSN

Phone

Current Address

City

State

Zip Code

Do you rent or own your home? Rent Own

Monthly payment or rent

How long (Years)?

How long (Months)?

Previous address: (If current less than 4 years):

City

State

Zip Code

Do you rent or own your home? Rent Own

Monthly payment or rent

How long (Years)?

How long (Months)?

Please check this if this Lease application is a joint application.

Dealer's Name (optional)

CO-APPLICANT INFORMATION, IF FOR A JOINT ACCOUNT ONLY

First name

Middle name (optional)

Last name

Date of birth

SSN

Phone

Current Address

City

State

Zip Code

Do you rent or own your home? Rent Own

Monthly payment or rent

How long (Years)?

How long (Months)?

Previous address: (If current less than 4 years):

City

State

Zip Code

Do you rent or own your home? Rent Own

Monthly payment or rent

How long (Years)?

How long (Months)?

Please check the lease application as joint application.

EMPLOYMENT INFORMATION

Income Type

Current Employer

Employer address

How long (Years)?

How long (Months)?

Phone

Work Email

Pay Frequency

Next Pay Date

City

State

Zip Code

Position

Payment Type Hourly Salary

Gross Monthly Income

Previous employer

Employer address

How long (Years)?

How long (Months)?

Phone

Work Email

City

State

Zip Code

Position

Payment Type Hourly Salary

Gross Monthly Income

Name of a relative not residing with you

Address

Phone

City

State

Zip Code

Relationship

EMPLOYMENT INFORMATION FOR CO-APPLICANT ONLY

Income Type

Current Employer

Employer address

How long (Years)?

How long (Months)?

Phone

Work Email

Pay Frequency

Next Pay Date

City

State

Zip Code

Position

Payment Type Hourly Salary

Gross Monthly Income

Previous employer

Employer address

How long (Years)?

How long (Months)?

Phone

Work Email

City

State

Zip Code

Position

Payment Type Hourly Salary

Gross Monthly Income

BANK INFORMATION (APPLICANT ONLY)

Bank Name

Routing #

Account #

Account Type

ACKNOWLEDGEMENTS AND DISCLOSURES

I AUTHORIZE HORSEPOWER FINANCIAL, LLC TO VERIFY THE INFORMATION PROVIDED ON THIS FORM AS TO MY CREDIT AND EMPLOYMENT HISTORY.

Applicant will be required to obtain and pay for vehicle insurance covering the leased vehicle in the amounts stipulated in the Lease Agreement. HorsePower Financial Services must be listed as both "Additionally Insured" and "Loss Payee" on the coverage. YOU MAY CHOOSE THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED. Married Wisconsin Residents: No provision of a marital property agreement, a unilateral statement under Wisconsin Statutes 766.59 or a court decree under Wisconsin Statutes 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time credit is granted, is furnished a copy of the agreement, statement or decree. Vermont Residents: The creditor may obtain credit reports about you on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: (1) Reviewing the account; (2) taking collection action on the account; (3) any other legitimate purposes associated with the account. Rhode Island Residents: Consumer reports may be requested in connection with this application. Ohio Residents: Ohio Laws against discrimination require that all creditors make credit equally available to all credit worthy applicants and that credit reporting agencies maintain separate credit history on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. New York Residents: Consumer reports may be requested in connection with the processing of your application and any resulting account. Upon request we will inform you of the names and addresses of any consumer reporting agencies that have provided such reports. Maine Residents: Consumer reports (credit report) may be requested in connection with this application. Upon request, you will be informed whiter or not a consumer report was requested and, if it was, of the name and address of the consumer reporting agency that furnished the report. California Residents: Regardless of your marital status, you may apply for credit in your name alone. Applicant(s) Statement This application has been submitted to HorsePower Financial Holdings, LLC and its assigns, herein after known as "HPFS" at PO Box 111, Bradenton, FL 34206 for consideration. I certify that everything stated in this credit application is true and correct. I understand that any person who, with intent to defraud or knowing that he/ she is facilitating a fraud, against an insurer or creditor submits an application containing false or deceptive statements can be found guilty of fraud. I hereby gi rant HPFS the authority to investigate any and all statements contained on this application and to obtain credit information on me on an ongoing basis in connection with this credit transaction. I understand that providing my wireless telephone number and/or email address I consent to allowing HPFS to contact me using this information including leaving voice mail and text mail messages.

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Applicant Name

LEASE APPLICATION