APPLICATION FOR FOREIGN TRAVEL AUTHORIZATION FORM

APPLICATION FOR FOREIGN TRAVEL AUTHORIZATION FORM Member Name: Loan Account Number: Date of Departure from US: Current Residence Address: Current Home Phone Number: Current Employer: Employer Address: Employer Phone Number: Address Where Vehicle Will Be Located in Foreign Country: Phone Number Where I Can Be Reached in Foreign Country: Date: VIN#: Date of Return to US: By completing this application, I request KeyPoint Credit Union to provide me with a Foreign Travel Authorization Letter, based on the above information. By signing below, I certify that all of the information given with this application is true and complete. I understand the following: • Approval is not automatic and that the requested letter may not be provided for a period of 5 business days, • upon receipt of all required documentation. I must have a satisfactory 12-month auto loan payment history with KeyPoint Credit Union to qualify for this authorization. (Leased vehicles are not eligible for this request.) • The travel time period may not exceed 60 days. • If my request is approved, I am subject to a $25.00 fee, as disclosed in the KeyPoint Credit Union Fee • • The Foreign Travel Authorization Letter must be retained in the vehicle at all times while in a foreign country. • Removal of the vehicle without written authorization to a foreign country may result in the Credit Union taking legal action and invoking their right to repossess the vehicle. Member Signature: Member Signature: Disclosure. All payments due during my travel dates must be paid, prior to approval. REQUIREMENTS FOR FOREIGN TRAVEL AUTHORIZATION Make all loan payments so that the due date of the loan is due after your schedule return from your foreign travel Copy of current payroll stub for all signers on the loan. Copy of the current DMV Registration. Must expire after scheduled date of return from foreign country Lien holder must be AEACU or KeyPoint Credit Union Lien holder address must be a valid KeyPoint Credit Union address Copy of driver's license of anyone who will be driving the vehicle Must expire after scheduled date of return from foreign country All drivers must be on the loan Copy of Policy Declaration for primary U.S. insurance (Binder insurance is not acceptable. Form must state policy and not Application for Insurance.) Must begin on/before 12:01 AM on the scheduled date of departure from the U.S. Must expire on/after 11:59 PM on the scheduled date of return from foreign country Lien holder must be AEACU or KeyPoint Credit Union Coverage must include comprehensive and collision insurance Amount of insurance must be sufficient to cover outstanding loan balance Deductible must be $500 or less Names of insured must match information in OSI Copy of Policy Declaration for Foreign insurance (Binder insurance is not acceptable. Form must state Policy and not Application for Insurance.) Must begin on/before 12:01 AM on the scheduled date of departure from the U.S. Must expire on/after 11:59 PM on the scheduled date of return from foreign country Lien holder must be AEACU or KeyPoint Credit Union Coverage must include comprehensive and collision insurance Amount of insurance must be sufficient to cover outstanding loan balance Deductible must be $500 or less Names of insured must match information in OSI Copy of current home loan statement showing account is paid current, if applicable to meet approval requirements. FAX all documents to (408)731-4060 Print

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