Consumer Application

New Loan Application
Dealer Information Sheffield EZ GO Dealer 1451 Marvin Griffin Road Augusta, GA 309060000 Blank Application
Loan Information Individual Applicant Joint Applicant Amount Requested Loan Information Continued Select Manufacturer Select Product Type Select Promo Code Model Number Customer Business Information Click here for loan to be in business name Company Name Same as Physical Address Address City State Zip Primary Applicant Social Security First Name Middle Name Last Name Present Street Address (Not P.O. Box) City State Zip Date of Birth We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy. Mailing Information Mailing address is different from primary account address Mailing Address Mailing Address City Mailing Address State Mailing Address ZIP Contact Information Residential Status Monthly Housing/ Rent Payment Years at Residence Email Address Home Phone Mobile Phone Work Phone Employer Information Current Employer's Name Current Employer's City Years at Employment Monthly Gross Nearest Relative Information Nearest Relative's Name Nearest Relative's City Nearest Relative's State Nearest Relative's Phone Number Second Applicant Social Security First Name Middle Name Last Name Address Same as Above Address City State Zip Date of Birth We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy. Second Applicant Mailing Information Mailing address is different from second account address Mailing Address Mailing Address City Mailing Address State Mailing Address ZIP Second Applicant Contact Information Years at Residence Email Address Home Phone Same as Above Home Phone Mobile Phone Work Phone Second Applicant Employer Information Current Employer's Name Current Employer's City Years at Employment Monthly Gross Second Applicant Nearest Relative Information Nearest Relative's Name Nearest Relative's City Nearest Relative's State Nearest Relative's Phone Number We intend to apply for joint credit E-Sign Act Notice Of Delivery Of Disclosures Federal regulation requires financial institutions to inform loan applicants that certain disclosures related to this on-line application will be delivered electronically (e.g., screen display). Should the application be denied, Notice of Adverse Action will be sent to the applicant(s) via U.S. Postal Service. Should the application be approved and applicant(s) enter into a loan with us through the dealership of their choice, copies of loan-related disclosures will be provided to them by the dealership where the transaction is completed. Applicants must agree to this notice for the application process to continue. Applicant(s) Agree General Application Disclosure This Application for Credit ("Application") is to Sheffield Financial, A Division of Branch Banking and Trust Company (“Sheffield”). I have read this Application and everything stated in it is true. I authorize Sheffield to check my credit, employment history, or any other information, and to report such information, and its credit experience with me, to others. I am at least 18 years of age. Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. I hereby certify that the property purchased pursuant to this application is for my personal and/or business use; that I am fully responsible for making all payments for such property; that such property will be in my possession or under my control until the amount financed and all finance charges have been paid in full; and that I am not purchasing any property financed through Sheffield for the benefit or use of another without the prior written approval of Sheffield. IMPORTANT INFORMATION ABOUT ACCOUNT OPENING PROCEDURES: Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who requests to open an account prior to account opening. WHAT THIS MEANS TO YOU: When you apply for credit, 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. Failure to provide the required information may result in denial of your request to open an account. Applicant(s) Agree

New Loan Application

Dealer Information

Sheffield EZ GO Dealer
1451 Marvin Griffin Road
Augusta, GA 309060000

Blank Application

Loan Information

*Individual Applicant
*Joint Applicant
*Amount Requested

Loan Information Continued

*Select Manufacturer
*Select Product Type
Select Promo Code
Model Number

Customer Business Information

Click here for loan to be in business name

Primary Applicant

*Social Security
*First Name
Middle Name
*Last Name
*Present Street Address (Not P.O. Box)
*City
*State
*Zip
*Date of Birth
We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy.

Mailing Information

Mailing address is different from primary account address
*Mailing Address
*Mailing Address City
*Mailing Address State
*Mailing Address ZIP

Contact Information

*Residential Status
*Monthly Housing/
Rent Payment
*Years at Residence
*Email Address
*Home Phone
Mobile Phone
*Work Phone

Employer Information

*Current Employer's Name
*Current Employer's City
*Years at Employment
*Monthly Gross

Nearest Relative Information

*Nearest Relative's Name
*Nearest Relative's City
*Nearest Relative's State
*Nearest Relative's Phone Number

Second Applicant

*Social Security
*First Name
Middle Name
*Last Name
Address Same as Above
*Address
*City
*State
*Zip
*Date of Birth
We do not knowingly collect or retain personally identifiable information from consumers under the age of thirteen. Your child's online privacy is protected by the Children's Online Privacy Protection Act (COPPA). Learn more about COPPA by visiting the Federal Trade Commission's website at http://www.business.ftc.gov/privacy-and-security/childrens-privacy.

Second Applicant Mailing Information

Mailing address is different from second account address
*Mailing Address
*Mailing Address City
*Mailing Address State
*Mailing Address ZIP

Second Applicant Contact Information

*Years at Residence
Email Address
Home Phone Same as Above
*Home Phone
Mobile Phone
*Work Phone

Second Applicant Employer Information

*Current Employer's Name
*Current Employer's City
*Years at Employment
*Monthly Gross

Second Applicant Nearest Relative Information

*Nearest Relative's Name
*Nearest Relative's City
*Nearest Relative's State
*Nearest Relative's Phone Number
We intend to apply for joint credit

E-Sign Act Notice Of Delivery Of Disclosures

Federal regulation requires financial institutions to inform loan applicants that certain disclosures related to this on-line application will be delivered electronically (e.g., screen display). Should the application be denied, Notice of Adverse Action will be sent to the applicant(s) via U.S. Postal Service. Should the application be approved and applicant(s) enter into a loan with us through the dealership of their choice, copies of loan-related disclosures will be provided to them by the dealership where the transaction is completed. Applicants must agree to this notice for the application process to continue.

Applicant(s) Agree

General Application Disclosure

This Application for Credit ("Application") is to Sheffield Financial, A Division of Branch Banking and Trust Company (“Sheffield”). I have read this Application and everything stated in it is true. I authorize Sheffield to check my credit, employment history, or any other information, and to report such information, and its credit experience with me, to others. I am at least 18 years of age. Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

I hereby certify that the property purchased pursuant to this application is for my personal and/or business use; that I am fully responsible for making all payments for such property; that such property will be in my possession or under my control until the amount financed and all finance charges have been paid in full; and that I am not purchasing any property financed through Sheffield for the benefit or use of another without the prior written approval of Sheffield.

IMPORTANT INFORMATION ABOUT ACCOUNT OPENING PROCEDURES: Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who requests to open an account prior to account opening.

WHAT THIS MEANS TO YOU: When you apply for credit, 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. Failure to provide the required information may result in denial of your request to open an account.

Applicant(s) Agree