CONSUMER CREDIT APPLICATION - Honda

CONSUMER CREDIT APPLICATION

DEALER TO

COMPLETE

Dealer Number

NEW/DEMO USED

Dealer Name

LEASE CONDITIONAL SALE

GRADUATE PROGRAM

FUTURE VALUE PURCHASE PROGRAM

Year

Make

INDIVIDUAL BOTH TO SIGN

Model Code

PLEASE PRINT

Applicant

Mr. Ms.

Current Address

Last Name Number and Street

Apt. Number

First Name City

Previous Address (if less than 3 years at Current Address)

Current Employer Name and Address

Previous Employer Name and Address (if less than 3 years at Current Employer)

Co-Applicant

Mr. Ms.

Current Address

Last Name Number and Street

Apt. Number

First Name City

Previous Address (if less than 3 years at Current Address)

Current Employer Name and Address

Previous Employer Name and Address (if less than 3 years at Current Employer)

Email Address Applicant Co-Applicant

Applicant Gross Monthly Salary

$

Financial Institution

Name

Co-Applicant Gross monthly Salary

$

Address

Landlord/Mortgage Holder Own Rent

Name

Relative Not Living With Applicant

Address Name

Personal Reference Not Living With Applicant

Name

Principal Driver's Name

Province/Territory

Middle Name

Postal Code

Home Phone Number

Date of Birth MM DD YY

Length Yrs. Mths.

Number of Years

Business Phone Number

Trade/Occupation Trade/Occupation

Length Yrs. Mths.

Number of Years

Province/Territory

Middle Name

Postal Code

Home Phone Number

Date of Birth MM DD YY

Length Yrs. Mths.

Number of Years

Business Phone Number

Trade/Occupation Trade/Occupation

Length Yrs. Mths.

Number of Years

Other Income $

Address

Cellular Phone Number Applicant Co-Applicant Describe Other Income

Phone Number

Phone Number

Account Number

Monthly Rent Pmt. $ Relationship to Applicant

Total Income

$

Savings Chequing

Monthly Mortgage Pmt $

Home Phone Number

Address

Home Phone Number

Driver's Licence Number

The acknowledgement and Consent on the second page and this consumer credit application shall be considered one document.

The undersigned warrants that the information provided in this consumer credit application is true, complete and correct.

____________________________ ____________________ ____________________________ ___________________

Applicant Signature

Date

Co-Applicant Signature

Date

HCFI (09-2008) UNIVERSAL CCA 1003-E PQ McMillan

Page 1 of 2

ACKNOWLEDGEMENT AND CONSENT FOR CONSUMERS

Name of Applicant: Address: Name of Co-Applicant: Address:

You may have certain legal rights relating to the personal information provided to us when you apply for credit from Honda Canada Finance Inc. ("HCFI").

This document sets out your rights relating to the privacy of the personal information provided to us when you apply for credit from HCFI and any other information provided to us subsequently in connection with the application for credit and any credit granted. Once we receive your application for credit, we will open a file on you. The purposes for opening a file on you are to:

? evaluate your application and your eligibility for credit; ? assess your solvency; and ? decide whether you are approved for a conditional sales agreement and/or lease agreement for goods: automobiles, motorcycles, all-terrain

vehicles, power equipment, outboard motors and marine products, as applicable.

If you are approved and you enter into such an agreement with us, we will also use this information for contract management and marketing purposes. Contract management includes notably credit, billing, collection, lien registration, insurance tracking and service and warranty purposes. Marketing includes the marketing and promotion of products, good and services which we believe may be of interest to you. We will maintain your file for as long as we have a business relationship with you. Once our business relationship with you has ended, we and the Dealer (as defined below) may still use your identification details (nominative information) (such as your name, address(es) and telephone number(s)) only for marketing purposes. You authorize telemarketing telecommunications to be made by or on behalf of us or the Dealer to you at your Home Phone Number set forth on the reverse side.

Please initial the box if you do not want your personal information used for marketing purposes.

I disagree:

The information contained in your file will be used for the purposes stated above.

Certain of our employees (including those of our Canadian and foreign subsidiaries and affiliates), agents and contractors as well as authorized dealer named in the consumer credit application (see reverse side) or any other authorized dealer(s) designated by us (the "Dealer") will have access to your file while we maintain it. Said persons will be limited to those who require your personal information as part of their functions and mandates and such access will be limited for the purposes outlined in this Acknowledgement and Consent. Your file will kept at our branch office located at 1750, Eiffel Street, Longueuil (Boucherville), Province of Quebec, J4B 7W1, telephone no.: (450) 641 9062.

You also acknowledge and consent that your personal information will be transferred to a third party or parties for the same purposes and duration outlined in the Acknowledgement and Consent if said conditional sales agreement or lease agreement is transferred or assigned to such third party or parties, or to an organization in connection with the due diligence for, and completion of, a business transaction, including, without limitation, a securitization or financing involving HCFI or its subsidiaries or affiliates.

If you request, we will give you access to the information contained in your file. You can review your information and correct any information that is inaccurate, incomplete or unclear. You can also ask us to delete any information is obsolete, unjustified or has been obtained illegally.

To obtain access to your file, please write to us and we will arrange an appointment for you to visit our branch office in Boucherville.

To evaluate your eligibility for credit, we and the Dealer may contact a credit reporting agency, and obtain your credit report. We and the Dealer may also contact the financial institutions listed in the consumer credit application (see reverse side) and credit report to obtain additional credit information on you.

You consent to your personal information being exchanged with a credit reporting agency, financial institutions and other third parties, but only for the objects outlined above, and only if they have legitimate reasons for handing it. Signing this Acknowledgement and Consent means that you authorize us as well as those who work for us or with us (including our Canadian and foreign subsidiaries, affiliates and contractors) and the Dealer to obtain necessary personal information and exchange it with third parties for the purposes outlined in this Acknowledgement and Consent.

You can access a copy of your credit report from the following credit reporting agency:

Equifax Canada Inc. 7171 Jean-Talon East Montr?al (Qu?bec) H1M 3M2 Telephone: (514) 493-2470 You can also ask Equifax to correct any information which is inaccurate.

The consumer credit application on the reverse side and this Acknowledgement and Consent shall be considered one document. Reference to consumer credit application or credit application in any related documents shall include this Acknowledgement and Consent. It is the express wish of the parties that this form and any related documents be drawn up and executed in English. Les parties ont express?ment exig? que le pr?sent formulaire et tous les documents s'y rattachant soient r?dig?s en anglais.

I CONFIRM THAT I HAVE RECEIVED A COPY OF THIS DOCUMENT AND THAT I HAVE READ AND UNDERSTAND ITS CONTENTS. I ALLOW HONDA CANADA FINANCE INC. TO OPEN A FILE ON ME AND TO OBTAIN AND EXCHANGE INFORMATION IN THAT FILE AS INDICATED ABOVE.

Applicant Signature: ___________________________________________________ Date: ____________________________________

Co-Applicant Signature: _________________________________________________

HCFI (09-2008) UNIVERSAL CCA 1003-E PQ McMillan

Page 2 of 2

Date: ____________________________________

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