GreenSky Installment Loan Information Form - Quality Carports, Inc

GreenSky? Installment Loan Information Form

Loan Form # 2030

By submitting a loan application, you, the applicant, and co-applicant (if any) agree that you are applying for any product that

any financial institution participating in the GreenSky? Program (a "Lender") may offer as part of the GreenSky? Program,

regardless of any product your merchant may have specifically discussed with you. The information from this form will be

used to submit an application for a GreenSky? Program loan via the Program's computer application.

Borrower Information

First Name

Last Name

Date of Birth (mm/dd

Requested Loan Amount : Social Security Number

Phone

Borrower Street Address Email Address Applicant's Gross Annual Income

City If

State

Zip Code

Co-Borrower Information

First Name

Phone

Last Name

Co-Borrower Street Address

Email Address Applicant's Gross Annual Income

Date of Birth (mm/dd

City If

Social Security Number

State

Zip Code

Married Wisconsin Residents

Borrower Spouse's First Name: Borrower Spouse's Street Address City Co-Borrower Spouse's First Name: Co-Borrower Spouse's Street Address: City

Middle Initial Suite/Apt # State Middle Initial Suite/Apt # State

Borrower Spouse's Last Name: Zip Code Co-Borrower Spouse's Last Name:

Zip Code

TO BE COMPLETED BY SALES CONSULTANT/MERCHANT

Merchant Number

Borrower Type of ID

Plan Number [ ] Driver's License [ ] State/Province Issued ID [ ] Military ID [ ] Passport [ ] Tribal Card (please check one)

Borrower Name on ID

Co-Borrower Type of ID

State of Issuance ID Number

ID Expiration Date

[ ] Driver's License [ ] State/Province Issued ID [ ] Military ID [ ] Passport [ ] Tribal Card (please check one)

Co-Borrower Name on ID

Sales Associate/Merchant Name and Contact Information

State of Issuance ID Number

ID Expiration Date

Please see Disclosures and signatures on the next page

GSCP Installment Application Information Form Page 1 of 2

Account Opening Disclosures

Please read the following important notices, certification, and authorizations before submitting an application. Please retain a copy of these for your records. These disclosures can be found online anytime at disclosures. Definitions: For the purposes of these disclosures, the following definitions apply:

"Lender," us," "we" or "our" shall include any financial institution participating in the GreenSky? Program. "You" shall include any applicant and any co-applicant, if any, collectively, submitting an application for a loan with the GreenSky? Program. Important Notices from Us to You: 1. THE FOLLOWING IS IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens a new account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. 2. In providing your income as part of this application or any subsequent update to your income, Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have them considered. 3. If you request, you will be informed whether a credit report was requested and, if so, the name and address of the consumer reporting agency that furnished this report. 4. Where applicable, you will be charged a one-time Account Activation Fee (finance charge) of $39 at the time of first purchase. 5. If approved for a loan, a Shopping Pass will be issued to you. Use of your Shopping Pass or otherwise using your installment loan to make a purchase, whether in store, online, on the telephone, with your merchant or otherwise by any borrower authorized on the loan agreement, will constitute acceptance of the loan and the loan agreement governing the Shopping Pass by all borrowers. The physical and electronic records of any such purchase will constitute the signature of all borrowers on the loan agreement. 6. The following state-specific notices apply, as indicated, to California, Ohio, and Wisconsin applicants: California Residents: If you are married, you may apply for a separate account. Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law Married Wisconsin Residents: If you are applying for individual credit or joint credit with someone other than your spouse, and your spouse also lives in Wisconsin, combine your financial information with your spouse's financial information. No provision of any marital property agreement, unilateral statement under Section 766.59 of the Wisconsin statutes or court order under section 766.70 adversely affects the interest of the lender, unless the lender, prior to the time credit is granted, is furnished a copy of the agreement, statement of decree or has actual knowledge of the adverse provision when the obligation to the lender is incurred. If married, you understand that your lender must inform your spouse if a credit account is opened for you. Important Certifications and Authorizations from You to Us: Applicant Certifications: By allowing your merchant to submit this application for credit, you certify the following: 1. You are applying for any product that we may offer as part of the GreenSky? Program regardless of any product your merchant may have specifically discussed with you. 2. All of the statements (whether verbally or written) communicated to us and to your merchant related to this application are true and correct and are made for the purposes of obtaining credit. 3. If more than one applicant is applying, each applicant intends to apply for joint credit and none is a co-signer (a "co-signer" is a person who agrees to be liable for the debt of another person without receiving the benefit of the loan, whereas a "joint applicant" is a person who intends to apply for joint credit and will receive the benefit of the loan; although we allow joint applicants to apply for joint credit, we do not allow borrowers to use "co-signers"). Applicant Authorizations: By allowing your merchant to submit this loan application, you expressly authorize us to: 1. Obtain a credit report on you for any legal purpose in connection with this loan application, including any account update, extension of credit, or review or collection of your loan. 2. Share with your merchant of our credit decision, including your credit score, and if approved, the credit decision and loan information, including, but not limited to, your approved credit limit, the repayment period for your loan, your approved APR, and account number. You also agree to provide additional financial information upon request. 3. Share with any co-applicant loan related information, including but not limited to, your credit decision, proposed loan terms, and personal credit scores, which will have the same effect as personal delivery to you. 4. Contact you about our products, services, special offers and other promotions at any email address provided to us now or in the future. Contact you at any mobile number and any future mobile number that you provide by phone or text message using an automated telephone dialing system or artificial or prerecorded voices, for any legal purpose, including but not limited to, servicing any loan. You may revoke your consent at any time by contacting us at 1-866-936-0602 or P.O. Box 29429, Atlanta, GA 30359.

Application Submission Authorization

You, the Applicant/Co-Applicant, understand that by signing below and authorizing an application be submitted, you have read and accepted the Account Opening and Other Important Disclosures provided to you. You, the Applicant/Co-Applicant, have read and accept the Privacy Policy available at Privacy-Policy and the Consent to Electronic Records available at information and agree to receive electronic documents in connection with any loan obtained as a result of your electronically submitted application.

You, the Applicant/Co-Applicant, understand that by signing below and authorizing an application be submitted, you authorize Lender and its representatives, successors, and assigns to investigate your creditworthiness and obtain a credit report for you for any lawful purpose, including, but not limited to, any extension of credit, renewal, servicing and collections. Upon request, Lender will inform applicant of whether a credit report was obtained and if a report was obtained, the names and addresses of the credit reporting agencies that furnished the report.

Borrower Signature

X Borrower's Signature

Co-Borrower Signature

X Co-Borrower's Signature

NMLS #1416362

Date Date

Please provide a government issued picture ID to the Associate/Merchant.

If signed, Borrower and Co-Borrower intend to apply for joint credit.

Please provide a government issued picture ID to the Associate/Merchant.

Online: ? Email: service@ ? 866-936-0602

GSCP Installment Application Information Form

Page 2 of 2

11012018

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