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Credit Disclosure

Please fill out the questions to the best of your ability. if you have any questions, please e-mail . Disclaimer AUTHORIZATION TO CONDUCT A CREDIT INVESTIGATION If applying for credit, please sign this authorization ("Authorization"). By signing this Authorization: 1. I authorize Dealer, Mercedes-Benz Financial Services USA LLC, ("MBFS"), Daimler Trust and any finance company, bank, or other financial institution to which the Dealer or MBFS and/or Daimler Trust submits my application ("You" or "Your") to investigate my credit and employment history (if an individual), obtain credit reports, contact any of my current or former creditors to verfiy any information contained herein or received in connection with this Authorization or the acommpanying credit application which You deem relevant to the possible extension of credit to me ("Information"), and release Information about Your credit experience with me as the law permits. I authorize MBFS or Daimler Trust to disclose Information to any affiliate, assigns, or agent. 2. If required by the transaction, I authorize MBFS or Daimler Trust to file a UCC Financing Statement. 3. I intend to use the purchased or leased Equipment primarily for business or commercial purposes, and not for personal, family, household or agricultural purposes. Generally speaking, the term agricultural purposes does not mean over the road transportation or hauling of goods. 4. The undersigned hereby authorizes DCFS USA LLC, its successors, transferees and assigns (“Creditor”) to make inquiry into, to request, and to receive any information concerning information from other creditors which Creditor deems relevant for the potential granting of the proposed borrowing. This authorization shall be effective from the date upon which this agreement is signed and is extinguished automatically upon full payment of the present borrowing. 5. I certify that I have read and agree to the terms of this Authorization and the acommpanying credit application and that the information in both documents is complete and true. 6. If I am an individual, I authorize the release of federal and state records of my employment and income history. A bankruptcy proceeding is neither in progress nor expected. If the accompanying credit application is submitted in the name of a business, a current and yeaers-end financial statement, including P&L statement and balance sheet, may be required, audited if possible. I will notify MBFS and Dimaler Trust if I beomce aware of any material change in my financial condition. 7. I consent and agree that MBFS, Daimler Trust, and any successors, affiliates, agents or service providers may to the extent permitted by law; (i) monitor and record telephone calls concerning my account to assure quality of service or for other reasons; and (ii) use written, verbal, and electronic means to contact me, including, without limitation, manual calling methods, prerecorded or artificial voice messages, text messages, e-mails and/or automatic dialing systems. Such means of contact may include use of an e-mail address or any telephone number I provide, now or in the future, including a cellular phone or other wireless device number, regardless of whether I incur charges as a result. California Resident: Applicant, if married, may apply for a seperate account. Maine, Rhode Isleand, and Tennessee Residents: You must have physical damage insurance covering loss or damage to the vehicle for the term of any contract. For a lease, you must also have the liability insurance as described in the lease. You may buy this insurance from anyone you choose. You do not have to buy it from or through someone affiliated with the dealer or an assignee of this contract. Your choice of insurance will not affect the credit approval process unless the insurance does not satisfy the contract requirements or the insurance company does not satisfy the reasonable standards of the dealer or an assignee of the contract. New York Resident: Consumer reports may be requested in connection with this application. Upon your request, you will be informed as to whether or not a consumer report was requested and informed of the name and address of the consumer reporting agency that furnished the report. On any update, renewal or extension of this credit, subsequent consumer reports may be requested. Ohio Resident: The Ohio laws against discrimination require that all creditors make credit equally available to all crediworthy customers, and that credit reporting agencies maintain seperarate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. For more details, or if filling out a credit report, e-mail