Finance Application

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Please Note: This information will not be sold or distributed in anyway and will be sent only and directly to MFG.

Part 1 - Applicant Information
  • YesNo
Part 2 - General Mailing And Address Information (If Different Than Part 1)


Please Complete the Mailing Address If It Is Different Than the Street Address


If At Address Less Than 3 Years, Please Indicate Your Previous Address

PART 3- PLEASE INDICATE WHICH OF THE BELOW ITEMS MAY APPLY TO YOU, CURRENTLY OR IN THE PAST
  • Prior Financing WIth Kubota Credit CorporationPrior/Current RepossessionTax LienJudgmentFiled BankruptcyPrior/Current ForeclosureNone of The Above
PART 4 – EMPLOYER INFORMATION
  • Please indicate if RetiredSelf Employed.
    If Retired or Self Employed, please indicate Gross monthly income $
PART 5 - PREVIOUS EMPLOYER (If At Current Employer Less Than 2 Years)
PART 6 - OTHER INCOME (Alimony, Child Support, or Separate Maintenance Payments Need Not Be Disclosed Unless Relied Upon For Creditworthiness)
PART 7 - REFERENCES


Nearest Relative Not Living With You

Other Reference Information

NOTICE TO MAINE RESIDENTS:

If this application is approved by the creditor, you will be required to obtain and maintain physical damage insurance on the collateral securing the debt. You have the right of free choice in the selection of the agent and insurer through or by which the insurance is placed. "NOTICE": Consumer reports (credit reports) may be obtained in connection with this application. If you request, 1) you will be informed whether or not
consumer reports were obtained; and 2) if reports were obtained, you will be informed of the name and address of the consumer reporting agencies (credit bureaus) that furnished the reports.

NOTICE TO NEW YORK RESIDENTS:

A consumer credit report may be requested in connection with this application with any renewals or extensions of any credit grated as a result of this application. If you subsequently ask for this information, you will be informed whether or not such a report was requested and, if so, the name and address of the agency that furnished the report.

NOTICE TO 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.

NOTICE TO UTAH RESIDENTS:

As required by Utah law, you are hereby notified that a negative credit report reflecting on your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.

NOTICE TO WISCONSIN RESIDENTS:

No provision of a marital property agreement, a unilateral statement under WIS.STAT.SEC 766.59 or a court decree under WIS.STAT.SEC 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred.

NOTICE TO CALIFORNIA RESIDENTS:

If you are married you may apply for a separate account.

I HEREBY CERTIFY THAT THESE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND ARE MADE FOR THE PURPOSE OF OBTAINING FINANCING FROM KUBOTA CREDIT CORPORATION, U.S.A.
I AUTHORIZE YOU TO OBTAIN ANY INFORMATION INCLUDING BUT NOT LIMITED TO CREDIT REPORTS WHICH YOU MAY REQUIRE CONCERNING THIS APPLICATION AND I AGREE THAT THIS APPLICATION SHALL REMAIN YOUR PROPERTY, WHETHER THE FINANCING IS GRANTED OR NOT. I ACKNOWLEDGE RECEIPT OF A COPY OF THIS APPLICATION SHEET.
YOU HAVE MY CONSENT TO OBTAIN MY CREDIT REPORT IN CONNECTION WITH MY APPLICATION FOR CREDIT AND FOR ANY OF THE FOLLOWING PURPOSES: EXTENDING CREDIT TO ME, INCREASING THE CREDIT LINE ON MY ACCOUNT, TAKING COLLECTION ACTION ON THE ACCOUNT, AND OTHER LEGITIMATE PURPOSES ASSOCIATED WITH THE ACCOUNT.