M Provide me with a price quote.

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1 Closed-End Vehicle Loan Questionnaire and Order Request M Place my order. M Provide me with a price quote. TO ORDER Please complete all information in each section of this order form as instructed to assure accuracy in processing your order. If you have any questions on document pricing or placing your order, please call LOANLINER Customer Service at Select Option for product questions and ordering, or Option 2 for compliance questions. If you would like to view document samples to help in placing your order, visit our website at You may place your order using any of the following delivery methods: Please return pages -5 of this Order Request! Call: , Option OR Fax: OR Order Processing: Standard order processing time for electronic documents without a proof is 4 calendar days. Mail: CUNA Mutual Group LOANLINER Customer Service PO Box 9 Madison, WI CONTACT INION Contract #: Credit Union: Street Address: City/State/Zip: Contact Name*: Telephone: Fax : Address: Billing Address: M New Customer M Change ATTN: Credit Union: Street Address: City/State/Zip: * The contact name should be someone at the Credit Union we can contact if we have questions relating to the information provided on this order request. CREDIT UNION LOGO/OTHER PERSONALIZATION INION (OPTIONAL) Select a Credit Union logo to be included on your document(s): Credit Union logo type (Please select one) M Graphic only Logo file format M My logo is already on file with CUNA Mutual Group M Graphic and address M My logo is included (We can accept a.tif,.eps, or cameraready art for scanning. The quality of any other method cannot be Street Address: City/State/Zip: Toll Free : guaranteed.) M Include Hands & Globe logo (instead of CU logo) Telephone: Fax :_ Web Address: M Address only Street Address: City/State/Zip: Toll Free : Telephone: Fax :_ Web Address: M None Page (05/2)

2 Closed-End Vehicle Loan Questionnaire and Order Request Credit Union: Contract #: ADDITIONAL FEES Consultation and Development Fees: Various types of customization are available at an additional cost. Consultation and Development Fees charged at $75.00/ hr. Minimum one hour; $4.75 for each additional 5-minute increment. Contact LOANLINER Customer Service at , Option, for more information. Electronic Files to: DELIVERY INION Check Stock Fee: Check set-up Fee of $50.00 for initial order and any reorder with changes. M Credit Union Address: M Data Processor Address: Data Processor Contact Name: Data Processor Name: Telephone: LOANLINER DOCUMENT LISTING State specific documents are noted in the document description VERSION TYPE MEDIA TYPE DOCUMENT NUMBER STATES USED IN PRE-APPROVED LOAN AND SECURITY AGREEMENT AND TRUTH IN LENDING DISCLOSURE Standard Fixed Rate E NXX2* All other states plus Federally Chartered Credit Unions lending to borrowers in South Carolina FILING COPY Yes FILING STATES Arkansas, Ohio, South Dakota, Wyoming Right to Cure Iowa Louisiana New Hampshire Virginia Wisconsin Fixed Rate E NRC2* Colorado, DC, Kansas, Maine, Massachusetts, Missouri, Nebraska, West Virginia and State Chartered Credit Unions lending to borrowers in South Carolina Fixed Rate E NIA2* Iowa No Yes Colorado, DC, Nebraska Fixed Rate E NLA2* Louisiana Yes Louisiana Fixed Rate E NNH2* New Hampshire No Fixed Rate E NVA2* Virginia No Fixed Rate E NWI2* Wisconsin No TRUTH IN LENDING DISCLOSURE () Standard Fixed Rate E NXX* All states except for Credit Unions with Virginia Credit Insurance Virginia Fixed Rate E NVA* Credit Unions with Virginia Credit Insurance N/A N/A PRE-APPROVED EXPRESS DRAFT Site Draft Fixed Rate E NXX7* All States N/A N/A Check Fixed Rate E NXX9* All States N/A N/A PRE-APPROVED EXPRESS DRAFT CONFIRMATION RECEIPT Credit Insurance Fixed Rate E NXX8* All States N/A N/A Debt Protection Fixed Rate E NXX6* All States N/A N/A CHECK STOCK Check Stock N/A P JXX02* All States N/A N/A * Version Media Type E = Electronic P = Paper N/A N/A Page (05/2)

3 Closed-End Vehicle Loan Questionnaire and Order Request Credit Union: Contract #: Place a checkmark () directly below the document number of the item(s) you wish to order and complete all columns as applicable for each document. PRE-APPROVED LOAN AND SECURITY AGREEMENT AND TRUTH IN LENDING DISCLOSURE Electronic Format ( all that apply) USAGE NXX2* Standard Fixed Rate Note NRC2* Right to Cure Fixed Rate Note NIA2* IA Fixed Rate Note NNH2* NH Fixed Rate Note NLA2* LA Fixed Rate Note M LOS M Internet NVA2* VA Fixed Rate Note M LOS M Internet NWI2* WI Fixed Rate Note M LOS M Internet The following items apply to language that is necessary to include on the Loan and Security Agreement and Truth In Lending Disclosure. Please and/or provide the language for each of the following items as you would like it to appear on the Pre- Approved Loan and Security Agreement and Truth In Lending Disclosure. LATE CHARGES M N/A M Use this language: COLLECTION COSTS M Use standard state language M Use this language: _ * Version Page (05/2)

4 Closed-End Vehicle Loan Questionnaire and Order Request Credit Union: Contract #: Place a checkmark () directly below the document number of the item(s) you wish to order and complete all columns as applicable for each document. NXX* NVA* TRUTH IN LENDING DISCLOSURE () Truth In Lending Disclosure () (All states except Credit Unions with Virginia Credit Insurance) Truth In Lending Disclosure () (Credit Unions with Virginia Credit Insurance only) Electronic Format USAGE ( all that apply) PRE-APPROVED EXPRESS DRAFT (choose at least one) NXX7* Express Draft (Site Draft) NXX9* NXX8* NXX6* Express Draft (Check) (Must order JXX92* with this selection - please complete page 5) PRE-APPROVED EXPRESS DRAFT CONFIRMATION RECEIPT Express Draft Confirmation Receipt for Credit Insurance Express Draft Confirmation Receipt for Debt Protection M LOS M Internet * ATTENTION!: Important Information for Credit Unions purchasing the NXX9* and the JXX92*. The NXX9* (electronic document) is designed to print accurately onto the JXX92* (paper check stock) when they are not altered. However, if you are having the NXX9* sent to a vendor that recreates it or are requesting the NXX9* in a source file format, the alignment of the NXX9* can be altered and result in printing alignment issues when using the JXX92* (paper check stock). Therefore, if you will be utilizing either a vendor that re-creates the NXX9* or are requesting the NXX9* in a source file format you will need to test the print alignment of the NXX9* (electronic document) on to the JXX92* (paper check stock) once the NXX9* is loaded on to your system. Non-Borrowing Owners of Collateral We need to understand the lending approach you will be using with non-borrowing owners of collateral under this program (own the vehicle securing the loan but are not obligated on this loan.) M Our Credit Union will not be allowing non-borrowing owners of collateral (no Action Required). M Our Credit Union anticipates that there may be the need to include non-borrowing owners of collateral. (Action Required). In this situation, your Credit Union may need an updated Security Agreement. Contact LOANLINER s if you do not already have either the electronic document version MXX888 or newer (e.g. MXX889, MXX88A, etc.), or the paper version MXX88C or newer (e.g. MXX88D, MXX88E, etc.). Page (05/2)

5 SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DO Closed-End Vehicle Loan Questionnaire and Order Request Credit Union: Contract #: Place a checkmark () directly below the document number of the item(s) you wish to order and complete all columns as applicable for each document. JXX92* Check Stock * Version CHECK STOCK Paper Quantity (Minimum 250) Check Background Screen Color Choice (select one) (Must order NXX9* with this selection) M Blue M Green M Gold Please fill out for JXX92* Check Stock: SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENTSSECURE DOCUMENT SECURE DODOCUMENT SECURE DOCUMENTS SECURE DOCUMEMT SECURE DOCUMENTS SECURE DOCUMENT SECURE DOCUMENT SECURED DOCUM THIS CHECK HAS A COLORED BACKGROUND AND A MICROPRINT BORDER THIS PRE-APPROVED EXPRESS DRAFT WILL NOT BE PAID UNLESS ALL INION AND ENDORSEMENTS ARE COMPLETE. 2-/456 Express Draft No SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECURE DOCUMENT SECU ) Provide Starting Check : 2) Provide Fractional Transit (OPTIONAL): Starting Check : For all reorders, this number will continue in sequence based on the numbers use for your previous order. Fractional Transit : This serves as a backup in check processing should the MICR line become illegible or torn. ) Provide Magnetic Ink Character Recognition (MICR) : On-Us : This field contains the account number used to clear the Express Draft checks at your Credit Union. This can be a valid share draft account number, or a dummy account number that will force a rejection in your check processing system. The account number will depend on your process for tracking and processing these checks. A A C C No. Transit No. On-Us Transit No. : This field contains the Federal Reserve number assigned to the financial institution upon which the check is drawn. This ensures that the check will be properly routed back to your financial institution after it has been cashed. Note: A proof will be provided for the Check Stock within 5 days of receiving this order. Once proof is approved with no changes please allow approximately three weeks for production and shipping. MXX00* DOCUMENT FOLDER Folder Used to keep all documents together, supports your professional image and makes it easier for the member to file and store documents at their home. Paper Quantity (Minimum 00) * Version Page (05/2)