| For the purpose of establishing
credit, the undersigned submits the foregoing statement and
information contained above, as being a full, true, and correct
statement of my financial condition and all above matters,
on the date stated. The undersigned agrees to notify you
immediately in writing of any materially unfavorable change
in my financial condition or the above matters, and in the
absence of such notice or of a new and full written statement,
all matter herein may be considered as a continuing statement
and substantially correct. The undersigned hereby authorizes
PFC to make inquiry into, to request, and to receive any
information concerning my character, general reputation,
personal characteristics, mode of living, and all information
from creditors which PFC deems relevant for the granting
and collection of the proposed borrowing. This authorization
shall be effective from the date upon which this application
is signed and is extinguised automatically upon full payment
of the present borrowing, if any is granted. Upon my written
request, additional information as to the scope of this inquiry,
if one is made, will be provided.
I further represent that neither the undersigned, any principal officer of the undersigned, nor any contemplated operator of any equipment proposed to be purchased has any record or reputation of having violated any federal or state laws relating to liquor, narcotics or contraband; and no such person has been convicted of any felony.
I understand that PACCAR Financial Corp., and/or Seller of motor vehicle, parts or services to whom this application is presented, will be relying on the accuracy of the matters set forth herein as a basis for extending any credit which I may receive.
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