Instructions:  Print this QUICK APP , fill out application and send to CreditWest Corporation   P O Box 1815 Rohnert Park, CA 94927   Attn: Customer Care Dept. Be sure to include your e-mail address and we will match your application to a dealer near you.

APPLICANT:

Name:                                                                                                            Phone: (___) _____________

Address:                                                                                                         How Long?    _____________

Previous Address if current is less than 3 years :

                                                                                                                        How Long?    _____________

Birth Date:                                                 Social Security #                                                      

Present employer:                                                                 Phone: (____) _________ How long?_____

Previous employer if current is less than 3 years:

                                                                                                                        How Long?                                 

                                                Gross monthly income from employment                   $ _____________

                                                Additional Income source.....................................         $ _____________

                                                                                Total montly income        $ _____________

CO-APPLICANT

Name:                                                                                                                                                        

Date of Birth:                                            Social Security #                                                                  

Employer:                                                                          Phone: (____) __________ How Long? _____

Previous employer if current is less than 3 years:

                                                                                                                              How Long? ___________

                                        Gross Monthly income from employment.....        $ ______________

                                        Source of additional income ..................................        $ ______________

                                        Total monthly income                                        $ ______________

_____ Own       ______  Rent          Payment    $___________

The undersigned jointly and severally (1) certify the above information to be accurate and complete and intend it be relied upon to judge creditworthiness: (2) agree that this application and all related information may be indefinitely retained whether or not credit is extended: (3) authorize consumer credit reports and employment history to be obtained in connection with this application and for any update, review, collection, renewal or extension of the credit received. (4) authorize the exchange of credit, account and financial information about the undersigned.

Applicant's Signature _________________________________  Date ________________

Co-Applicant Signature _______________________________   Date ________________

e-mail address  ______________________________

ADDITIONAL INFORMATION

Desired monthly payment  ___________________     Price Range desired __________________

Type of vehicle interest in? ______________________________________________________