Applicant · Please read the following before completing this form: (1) Each applicant represents that the information given in
this Application is complete and accurate and authorizes us (meaning the Seller or any person to whom the Seller submits
this application for review) to check with credit reporting agencies, credit references and other sources disclosed herein in
investigating the information given. (2) Married applicants may apply for an Individual Account. (3) Applicant represents that
this Account will only be used for personal, family or household purposes.
Please check type of application:
Motorcycle (C88W)
ATV (C887)
First Time Buyer (C88F)
FIRST NAME
MI
LAST NAME
PRESENT ADDRESS
CITY
STATE
ZIP
FIRST NAME
MI
LAST NAME
PRESENT ADDRESS
CITY
STATE
ZIP
CITY
STATE
AIP
PREVIOUS ADDRESS (IF LESS THAN TWO YEARS AT PRESENT ADDRESS)
BIRTHDATE (mo./day/yr.)
SOCIAL SECURITY NO.
HOME PHONE
BUSINESS PHONE
EXT.
NAME AND ADDRESS OF NEAREST RELATIVE (not living with you)
PHONE
YOUR EMPLOYER NAME AND COMPLETE ADDRESS
YOUR EMPLOYER NAME AND COMPLETE ADDRESS
HOW LONG
ANNUAL INCOME from all sources*
OCCUPATIONAL GROUP (check one)
Years
$
1. Prof./Tech.
2. Sales
3. Clerical
4. Self Employed
5. Retired
6. Other
7. Military
Branch
Rank
Length of Service
Discharge Date
* Alimony, child support or separate maintenance
income need not be disclose unless relied upon for credit.
NO. OF DEPENDENTS
DO YOU (check one)
HOW LONG
MORTGAGE/RENT PAYMENT
Own
Rent
Board/Live with Relatives
Years
$
CREDIT REFERENCES (check all that apply
Checking
Savings
Visa
MasterCard
Sears/Discover
American Express/Optima
Dept. Store
PLEASE TELL US ABOUT YOURSELF
PLEASE COMPLETE FOR JOINT APPLICANT (MUST SIGN AGREEMENT)
ANNUAL INCOME from All Sources *
SOCIAL SECURITY NO.
RELATIONSHIP to Applic. HOME PHONE
Spouse
Other
* Alimony, child support or separate maintenance income need not be disclose unless relied upon for credit.
BUSINESS PHONE
EXT.
( )
( )
( )
( )
_
_
_
_
SUZUKI RETAIL LOAN APPLICATION
OPTIONAL AUTHORIZATION FOR SECOND REFERRAL OF APPLICATION
Unless you check this box, you request that this application be forwarded to another source of financing, should GECC
decide not to purchase a retail installment contract signed by you. You authorize that source, The Finance Company (TFC),
240 Corporate Boulevard, Norfollk, VA, 23502 to investigate your credit and employment history and obtain credit bureau
reports in connection with its review of your application. If TFC decides to purchase from the Seller a retail installment
contract signed by you, the terms of that contract may differ from those contained in a contract that would have been
purchased by GECC. You will be under no obligation to accept those terms or enter into such a contract.
This application will be submitted to General Electric Capital Corporation (GECC) at 7840 Roswell Rd., Bldg. 500,
Atlanta GA 30350 for review so that GECC may determine whether it will purchase from the Seller a retail installment
contract signed by each applicant (collectively referred to below as "you" and "your")
Applicant's Signature
Date
Co-applicant's Signature
Date
Driver's Lic. # _________________________________ State ____________________
Page 1 of 2
