Application Number: Dealership: Buyer: Co-Buyer: DEALER7 Buyer's Order / Bill of Sale Copy must be...

# Required Documents x

1 U Drive Funding Checklist This form completed and signed by dealer representative preparing funding packet

2 Approval Form Copy of approval callback

Original required; must be assigned to U Drive Acceptance Corp

Note: Any contract packages with deferred down payments will be returned immediately.

Federal Notice to Co-signer required in all states

State Specific Notice to Co-signer

7 Buyer's Order / Bill of Sale Copy must be signed by all buyers

U Drive Acceptance Corp, PO Box 3107, Sioux City, IA 51102

(No Branded Titles Allowed)

9 Odometer Disclosure Odometer reading as verified on disclosure must be consistent on all applicable documents

10 Credit Application Required to be completed by each applicant, must be original, completed, and signed

(Complete bank statements or copies of cancelled checks or state / federal statements

reflecting payment for the most recent consecutive three months of receipt)

Two documents within 30 days of contract date matching the contracted applicant name

& address -Utility/ cable bill/ bank statement/ credit card statement/ valid driver's license

Direct Landlord Contact Landlord Name:

Required for all non-homeowners Landlord Phone Number:

Insurance Binder/ Declaration page listing

Proof of Insurance/ contracted vehicle with Loss Payee:

Agreement to Provide Insurance

(U Drive Listed as additional U Drive Acceptance Corp Policy #

insured, $500 max deductible) PO Box 3107

Sioux City, IA 51102 Phone #

17 Reference Sheet Five references including: Name, relationship, address, and unique contact number for each

Representative from dealership who prepared funding package:

Dealership Contact Signature: Contact Name:

Related Document Notes

Retail Installment Contract3

13

4 Notice to Co-signer (if applicable)

Contracted structure must match approval; All signatures for Buyer(s) and Sellers must be present; Names on

legal documents must match the name as it appears on the driver's license.

Insurance

Co. Name

16

8 Title Application / Proof of Title

14 Proof of Residence

15

All required documents must be included at the time the contract package is submitted. Packages containing inaccurate

or incomplete documents will be placed on hold and verification delayed. Verification will resume once corrected

documents are received. If documents are not corrected within 5 days the package will be returned.

Please complete the checklist, staple to funding packet and mail to: ATTN: Funding Dept

Dealership Phone Number: Contact Phone Number:

DEALER FUNDING CHECKLIST

Application Number: Dealership:

Buyer: Co-Buyer:

12 Driver's License Valid copy of license for at least 1 borrower; min valid state issed ID for CoW-2 employee: One recent computer generated pay stub within 30 days of contract

1099 employee: Six most consecutive months complete personal bank statements*

18 ACH Authorization Form -optional Authorization to setup automatic payments from Savings or Checking Account

20 45 Day Guarantee of Title NOL (MO & AR) Guarantee of Title for all other states

All Job Time, Residence Time, Income and Book Value Must Verify as stated on the application at time of funding.

19 Customer Delivery Notice Required with docs

Proof of Income Proof of full down payment needed prior to funding

Fixed income employee: Proof of eligibility (Award / Benefits letter) and Proof of receipt

11 Ancillary Product Originals Original signed documents required for Service Contract, GAP

5 Text/Email Authorization Form Required to electronically communicate with customers

U Drive Acceptance CorpFor questions please contact our funding team at: 1119 4th St Suite #102

712.258.0269 x4 or [email protected] Sioux City, IA 51101

6 Bookout Sheet Accurately reflecting all vehicle options; signed by authorized dealer personnel

AGREEMENT TO PROVIDE INSURANCE

A. I must maintain physical damage insurance coverage on the financed vehicle for the entire termof the contract.

B. This physical damage insurance coverage must not exceed $500.00 deductible comprehensive (orfire, theft, and combined additional coverage) and $500.00 deductible collision.

I understand that physical damage insurance does not include liability coverage. Liability coverage ora bond is required to operate a vehicle in some states. Please contact your insurance agent orinsurer for more information.

Customer Name: ________________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________________

Home Phone: ________________________ Business Phone: ____________________________

The Vehicle referred to herein is described as follows:

Year: ______________ Make: _____________________ Model: __________________________

VIN#__________________________________________________________________________

Agent: ____________________________ Agent Phone: ________________________________

Agency Name: __________________________________________________________________

Agency Address: ________________________________________________________________

Insurance Company: ___________________________ Policy #: __________________________

Effective Date: __________________________ Expiration Date: __________________________

Deductibles: _______________ Comp. ___________________ Collision: ___________________

Buyer Signature: X______________________________________ Date: ___________________

Buyer Signature: X ______________________________________Date: ___________________

Dealer/ Sales Person Signature:X__________________________ Date: ___________________

Note: The above information is subject to verification

A. I must maintain physical damage insurance coverage on the financed vehicle for the entire termof the contract.

B. This physical damage insurance coverage must not exceed $500.00 deductible comprehensive(or fire, theft, and combined additional coverage) and $500.00 deductible collision.

C. The policy must name Pelican Resource Group, LLC as Loss Payee and coverage must be ineffect on the date of contract.

Customer Name: _______________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________

Home Phone: ________________________ Business Phone: ____________________________

The Vehicle referred to herein is described as follows:

Year: ______________ Make: _____________________ Model: __________________________

VIN#__________________________________________________________________________

Agent: ____________________________ Agent Phone: ________________________________

Agency Name: _________________________________________________________________

Agency Address: _______________________________________________________________

Insurance Company: ___________________________ Policy #: __________________________

Effective Date: __________________________ Expiration Date: _________________________

Deductibles: _______________ Comp. ___________________ Collision: __________________

Buyer Signature: X______________________________________ Date: ___________________

Buyer Signature: X ______________________________________Date: ___________________

Dealer/ Sales Person Signature:X__________________________ Date: ____________________

Note: The above information is subject to verification

I have recently financed a purchase of a motor vehicle with , whichrequires, among other things, the following:

C. The policy must name U Drive Acceptance Corp as Loss Payee and coverage must be in effect onthe date of contract.

D: ADDRESS: U Drive Acceptance Corp 1119 4th Street Ste 102 Sioux City, IA 51101

U Drive Acceptance Corp • 1119 4th Street Ste 102 • Sioux City, IA 51101 • P: 712.258.0269 • F: 712.224.5165

CLIENT REFERENCES (MUST BE FILLED OUT COMPLETELY)

Buyer’s Email: Cobuyer’s Email:

Reference #1 First:

Phone:

Last Name:

Street Address:

Apt#

P.O. Box #

City:

State:

Zip:

(Business or Personal): Years Known: Comments:

Reference #2 First:

Phone:

Last Name:

Street Address:

Apt#

P.O. Box #

City:

State:

Zip:


Reference #3 First:

Phone:

Last Name:

Street Address:

Apt#

P.O. Box #

City:

State:

Zip:

(Business or Personal): Years Known: Comments: Reference #4

First:

Phone:

Last Name:

Street Address:

Apt#

P.O. Box #

City:

State:

Zip:

(Business or Personal): Years Known: Comments: Reference #5

First:

Phone:

Last Name:

Street Address:

Apt#

P.O. Box #

City:

State:

Zip:


Authorization for Text Messaging and Email Contact

(Choose One)

1. My/our wireless service provider may charge me afee for text messages;

2. I/we am not required to provide this authorizationand I/we am doing so freely & voluntarily;

3. I/we may cancel this authorization at any time bysubmitting my request for cancelation in writing toPelican at the fax number or address provided below;and

4. I/we have received a copy of this authorization formy records.

Buyer Co-Buyer

______________________________ Signature

______________________________ Printed Name

____________________________ Cell Phone Number

____________________________ e-mail address

Date:____________________

____________________________ Signature

____________________________ Printed Name

____________________________ Cell Phone Number

____________________________ e-mail address

Date:____________________

I/we authorize U Drive Acceptance Corp (“U Drive”) to deliver to my cell phone and/or e-mail address, text and/or e-mail messages concerning my account (for the purposes of processing your loan application and following assignment of my retail installment contract by the dealer to U Drive, if applicable), including usingan automated text/e-mail communication system and/or individual person transmitted text/e-mail messages. I shall notify U Drive as soon as possible if mycell phone number and/or e-mail address changes. Ifurther understand and agree that:

I/we decline the option of granting authorization to receive Text and/or E-mail messages from U Drive and choose not to receive text messages to my cell phone and/or electronic messages to my e-mail address, concerning my account (for the purposes of processing your loan application and following assignment of my retail installment contract by the dealer to U Drive, if applicable). I/we understand that I/we shall still receive regular communications regarding my account by telephone (voice-call) and in writing.


45 DAY UNCONDITIONAL GUARANTEE OF TITLE

And

(Hereinafter referred to as “DEALER” and/or “SELLER”)

Between: U Drive Acceptance Corp

(Hereinafter referred to as “LENDER” and or “UDAC”)

This Guarantee of Title dated this Day of Year By and

For value received, the undersigned Dealer hereby unconditionally guarantees to Lender that Dealer shall be responsiblefor furnishing Lender satisfactory proof that Lender’s first priority security interest in the below identified vehicle istimely perfected, by providing Lender the original certificate of title listing Lender as the lienholder, and is not avoidable by any party or entity, including, without limitations, a trustee in a bankruptcy proceeding. In the event the Dealerdoes not, for any reason, deliver said title certificate as described above to Lender within 45 days from the date ofthis Guarantee, the Dealer shall repurchase the associated Contract and pay Lender immediately on demand, in U.S.currency, the full amount owed on this vehicle or give Lender (at Lender’s sole discretion) the option to use their ownjudgment in obtaining said title certificate at the expense of the Dealer. Dealer further agrees that if Dealer fails to comply with the repurchase demand as set forth above, Lender may obtain the certificate of title by any alternative means, may sell the vehicle and still hold Dealer responsible for the full amount of the repurchase amount with credit being given for the net amount received by Lender in connection with the sale of the vehicle. Dealer agrees to pay anyand all costs to enforce this Guarantee of Title, including, but not limited to,reasonable attorney’s fees.

U Drive Acceptance Corp • 1119 • 1119 4th Street Ste 102 • P: 712.258.0269 • F: 712.224.5165

Dan Mancini

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Buyer(s):

Dan Mancini

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VIN No.:

Dan Mancini

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Year, Make, Model:

Dan Mancini

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Seller (print):

Dan Mancini

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Sellers Agent (Print):

Dan Mancini

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Agent's Signature:

Dan Mancini

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Agent's Title:

Dan Mancini

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Dan Mancini

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Dan Mancini

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Dan Mancini

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Dan Mancini

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Dan Mancini

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Dan Mancini

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ASSIGNMENT AGREEMENT

This Assignment specifically includes, but is not limited to, all rights, title, and interest of Seller in any insurance policiesand other products (and the proceeds thereof) purchased, endorsed, or obtained by said Buyer(s) under the terms ofthe Contract. This Assignment specifically includes all rights, title, and interest of Seller in and to the vehicle includingany property, collateral or security interest described or provided for in the Contract.

VIN#:

Year, Make, & Model: _______________________________________

Seller-Dealership (please print): X

Seller’s Agent (please print): X

Agent’s Signature: X

Title of Agent: X

Date of Assignment: X

It is expressly understood and agreed that U Drive Acceptance Corp (“UDAC”) is substituted each and every timewherethe name:

This Assignment, upon execution by Seller, shall assign Seller’s rights in the Contract to UDAC and not to any assignee(s)named in the Contract. This Assignment shall not be deemed to relieve Seller from any liability for the breach of anywarranties, representations or agreements contained herein or in the Contract or in the Dealer Agreement betweenUDAC and Dealer.

This Assignment is attached to and expressly made a part of that certain Motor Vehicle Retail Installment Contract(“Contract”) dated by and between:

Seller (Dealer): Buyer(s): & .

appears on the Retail Installment Contract (“Contract”) described herein. For value received, Seller hereby expresslysells, assigns, and transfers all of Seller’s rights, title, and interest in the Contract, in all monies due and to become duethere under, and in and to the vehicle and other property and security interests described therein, to UDAC and/or itssuccessors, assigns, subsidiaries, or affiliates. Additionally, all representations, warranties, indemnifications, guarantiesand hold harmless provisions made by Seller specified in the Contract, and all other terms of the assignment containedtherein, are hereby made in favor of UDAC.


CONSUMER NOTICE OF YOUR FINANCIAL PRIVACY RIGHTS

How We Gather InformationIn connection with providing financial products or services to you, we collect nonpublic and personal information("Nonpublic personal information"). Nonpublic personal information is information that is not available from a publicsource. We obtain nonpublic personal information about you for the following sources:

o Information we receive from you on applications, loan and account forms;o Information concerning your transactions with us, our affiliates or others; and;o Information we receive from third parties such as credit bureaus.

B. Information We Disclose and Who We Share it With We do not disclose any nonpublic personal informationabout our customers or former customers to anyone, except as permitted by law.

C. Former CustomersIf you close your loan with us or you become an inactive customer, we will continue to adhere to the privacypractices described in this notice.

D. Our Security ProceduresWe restrict access to nonpublic personal information about you to our employees, agents, and subcontractorswho need this information to provide products or services to you. We maintain physical, electronic orprocedural safeguards that comply with federal regulations to guard your nonpublic personal information.

E. Your Choices Regarding Information SharingWe are permitted under law to (and in some cases must) disclose nonpublic personal information to"nonaffiliated third parties" in certain circumstances. For example, we may disclose nonpublic personalinformation to process your transaction at your request, to control fraud and identity theft, to make certaininformation a matter of public record such as in credit bureaus and to government entities in response to suchthings as subpoenas. Other than these disclosures which are permitted by law or are authorized and directed byyou to process your transaction with us we do not disclose and may not disclose nonpublic personal informationwithout your consent.

Buyer signature: X Date: X

Co Buyer Signature: X Date: X

Protecting your privacy is important to U Drive Acceptance Corp,. ("UDAC”) is referred to in this notice as "we", "us" and"our"). We understand that you expect your personal information to be confidential and secure. This notice will help youunderstand what information we collect about you, how we use it and how we protect it. In addition, this noticedescribes your right to prevent information from being shared with any affiliates or non-affiliates (under certaincircumstances).


Buyer Name:

Home phone #

Work phone #

Cell Phone #

Employer Name:

Employer Address:

Supervisor:

Customer Contact Form

Supervisor Phone #:

Best time to contact you: Morning Lunchtime Afternoon Evening Saturday

***********************************************************************

Co-Buyer Name

Home phone #

Work phone #

Cell Phone #

Employer Name:

Employer Address:

Supervisor:

Supervisor Phone #:

Best time to contact you: Morning Lunchtime Afternoon Evening Saturday


Customer Delivery Notice

Our goal is to provide the finest possible customer service in assisting with the financing of their vehicles. In aneffort to help us meet this goal and complete the financing, please review the following items below:

1. I have signed a copy of the Retail Installment Contract (“RIC”) when it was completely filled out in itsentirety.

2. I have personally inspected the vehicle, had an opportunity to test drive it, and found it free from anyreasonable discoverable damage/and or defects.

3. Everything that has been promised to me has been put in writing. If the dealer has agreed to fix items on thevehicle, I understand that the repair matter(s) are between myself and the dealership and I am responsiblefor scheduling the necessary repairs with the dealer.

5. This is to certify that I have made the down payment to the dealer in the amount of $as reflected on the RIC dated: .

6. I have paid the down payment in full and there are no promissory notes, future, or “pick-up” payments dueto the dealer.

Buyer Signature

Co Buyer Signature

4. I understand that I am purchasing the vehicle from dealership and repair problems are not the responsibilityof U Drive Acceptance Corp (“UDAC”). UDAC is providing the financing for the customer to purchase thevehiclefrom the dealer.

7. Any questions that I may have about this transaction have been answered to my satisfaction, enabling me tocompletely understand the dealer is selling me a vehicle, in which I have agreed to purchase, and UDAC isthefinancing source potentially enabling the customer to purchase such vehicle.


Customer Irrevocable Power of Attorney For Motor Vehicle Forms

The Customer agrees that the Attorney will not be responsible for any error, negligence, or for any sort of act or omission not amounting to gross negligence or willful misconduct and the Customer will indemnify, defend and hold the Attorney harmless from any and all actions, claims, demands or liabilities for any nature whatsoever which the Customer may have or will have against the Attorney arising out of the performance of its functions for and on behalf of the Customer pursuant to this Irrevocable Power of Attorney.

VEHICLE: Year, Make & Model VIN

IN WITNESS WHEREOF, The Customer(s) has caused this instrument to be executed by a duly authorized

representative effective as of the date set forth below.

Customer 1 Name:_

Customer 1 Address:_

As Agreed:

Customer 1.

Customer 2 Name:_

Customer 2 Address:_

As Agreed:

Customer 2.

KNOW BY ALL THESE PRESENTS THAT ______ (”Customer(s)”) with a residential address set forth below, hereby irrevocably appoints and authorizes U Drive Acceptance Corporation (“Attorney”), with offices at 1119 4th Street Street #102, Sioux City, IA 51101, to act as the Customer(s)’s attorney-in-fact, such power being coupled with an interest, with full authority in the place and stead of the Customer(s) and in the name of the Customer(s) or otherwise, for the sole purpose of (a) preparing, executing and filing in the C ustomer (s) ’ s name any original claim forms, motor vehicle title forms, motor vehicle lien assignment forms and other such motor vehicle lien forms (hereinafter referred to collectively as (“Motor Vehicle Forms”) as the Attorney may deem necessary pertaining to a Vehicle (as identified below) which Customer(s) has purchased by way of a reta i l installment sales contract (Referred to as “Contract”) for such Vehicle which will be / has been assigned to U Drive Acceptance Corp, and, (b) exercising the rights of Customer against such vehicles and under the related Contract.

U Drive Acceptance Corp • 1119 4th Street Ste 102, Sioux City, IA 51101 • P: 712.258.0269 • F: 712.224.5165

Buyer Co-Buyer

______________________________ Printed Name

______________________________ Signature

Date:____________________

____________________________ Printed Name

____________________________ Signature

Date:____________________

No thanks! I prefer not to receive offers and reminders via text, email or autodialer.

Stay on top of your account by signing up for U Drive Mobile Alerts!

______________________________________________

U Drive provides a variety of ways to get a hold of us, to get up-to-date account information, to make your

payment, receive friendly payment reminders, and gain access to various offers. We make it easy by using

contact information already provided on the application to keep in touch with you and provide you with

the best possible customer experience.

I authorize U Drive Acceptance Corp (“U Drive”) to contact me concerning my account (following

assignment of my contract by the dealer to U Drive) at any telephone number or email address associated

with my account, including by use of an autodialer or predictive dialer. I will notify U Drive if my cell phone

number or e-mail address changes and this authorization will continue to apply.

I understand: my wireless provider may charge me for messages; I am not required to provide this

authorization and I am doing so voluntarily; I may cancel this authorization at any time by calling or writing

to U Drive at the phone number or address provided above; and I will receive a copy of this authorization

for my records.


(Today’s Date)

(Signature of Cosigner)

You are being asked to guarantee this debt. Think carefully before you do. If the borrower

doesn’t pay the debt, you will have to. Be sure you can afford to pay ifyou have to, and that

you want to accept this responsibility.

You may have to pay up to the full amount of the debt if the borrower does not pay. You may

also have to pay late fee or collection costs, which increase this amount.

Identification of Debt:

Collateral:

(Model Year) (Make) (Model) (Vin #)

(Name of Primary Credit Applicant)

This notice is not the contract that makes you liable for the debt.

The creditor can collect this debt from you without first trying to collect from the borrower.

The creditor can use the same collection methods against you that can be used against the

borrower, such as suing you, garnishing your wages, etc. If this debt is ever in default, that fact

may become part of your credit record.

NOTICE TO CO-SIGNER

AUTO PAY - CREDIT AND DEBIT CARD

AUTHORIZATION AGREEMENT

Please read and complete this Authorization Agreement:

By signing this Authorization Agreement, I authorize U DRIVE ACCEPTANCE CORP.,(“UDAC") to initiate recurring electronic debit entries in the amount listed below ("Payment Amount") from my account at the financial institution named below ("Bank") on the dates described below, and to apply such funds as payments on my motor vehicle retail installment contract ("Contract") with UDAC . In addition, by signing this Authorization Agreement, I understand and agree to the following:

The Payment Amount listed below does not include any late fees, NSF fees, or other amounts which may become due under my Contract. I authorize UDAC to initiate debit entries for amounts including both the Payment Amount and any applicable fees pursuant to the terms of my Contract.

If I do not indicate a day of the month for the Payment Amount to be debited from my bank account, the payment date will be the monthly payment due date set forth in my Contract, or as modified by an approved Due Date Change Request Form. If any payment date falls on a weekend or Federal banking holiday such that UDAC is unable to process the debit entry, my payment will be posted to my account with UDAC on the next business day.

If UDAC becomes aware of any erroneous debit entries, UDAC will initiate transactions to correct the errors.

If any debit entry is dishonored or returned unpaid by my Bank for any reason, I authorize UDAC to resubmit the debit entry

up to two additional times within the next 30 days, and I acknowledge that UDAC may charge a return item fee and/or late

charge to my UDAC account, to the extent allowed by law and/or my Contract. I also acknowledge that my Bank may impose its own additional fees according to my account agreement with my Bank.

If my bank account information changes at any time, I shall immediately notify UDAC of such change.

The origination of ACH transactions (debit entries) to my account must comply with and will be governed by the provisions of applicable law(s) and rules of the National Automated Clearing House Association.

UDAC's authority to draft the automatic payments will remain in full force and effect until one of the following occurs:

1. I provide UDAC notice to the address below 7 days prior to the original scheduled payment date of my wish to

change the scheduled payment date, such as by requesting and submitting a Contract Modification Form;

2. I provide written notice to UDAC at the address below of my intent to revoke this Authorization no less than 7 business days prior to the next scheduled withdrawal date;

3. I am notified by UDAC of its intent to discontinue receiving payment from me in this manner for any reason; or

4. All amounts owed to UDAC under my Contract are paid in full.

I understand that this Authorization is purely voluntary and is not a condition to UDAC's extension of credit. I agree not to dispute any debit entry made in accordance with the terms of this Authorization Agreement.

Borrower Printed Name: ____________________________ Co-Borrower Printed Name: ____________________________ Borrower Signature: _________________________________ Co-Borrower Signature: ________________________________

Address: _________________________________________ City/State/Zip: _________________________________________

Phone: ___________________________________________ Date: ____________________________

Anyone else whose signature is required to withdraw funds from this checking/savings account must sign below:

Account Information

Name of Financial Institution:

Routing Number:

Account Number: ☐ Checking | ☐ Savings

Signature

Authorized Signature (Primary): Date:

Authorized Signature (Joint): Date:

Please attach a voided check or deposit slip to this form and return to:

U Drive Acceptance Corp. Attn: Auto Pay P.O. Box 3107 Sioux City, IA 51102 Or Fax to: (712) 224-5165

U Drive Acceptance Corp

PO Box 3107

Sioux City, IA 51102

(712)258-0269

In connection with my retail installment contract submitted to U Drive Acceptance Corp and/or

any of its affiliates, the undersigned hereby agrees to pay the tax, title and license fees associated with

the purchase of the vehicle within the contract, if not stated as already being part of the agreed upon

financed amount.

Due to the requirements of the state of Missouri, these fees are required to be paid 30 days

from purchase of the vehicle. Failure to pay the required fees may result in additional fees.

My signature below certifies that I have read, that I understand, and that I have voluntarily

executed this form.

Dealership Name:

Vehicle Year, Make, and Model:

Buyer Full Name:

Buyer Signature:

Date:

CoBuyer Full Name:

CoBuyer Signature:

Date:

T

Missouri Onlyax, Title and License Agreement

Disclosure Statement (Required in State of Pennsylvania Only)

The buyer’s purchase of specific items related to acquiring the motor vehicle, including incidental items such as servicecontracts, warranties, debt cancellation agreements, debt suspension agreements and insurance products not requiredby Section 17 of the Pennsylvania Motor Vehicle Sales Finance Act, but excluding options and accessories physicallyattached to the vehicle, is voluntary and is not required as a condition of the applicant buyer’s receiving the installmentsale contract loan.

By signing below, I acknowledge receiving a copy of this disclosure before I signed any the installment sale contract loan.

Buyer Signature Date

Co Buyer Signature Date


Application Number: Dealership: Buyer: Co-Buyer: DEALER7 Buyer's Order / Bill of Sale Copy must be...

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