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[BUSINESS] Consumer Credit Application Form

[BUSINESS] Consumer Credit Application Form

Please complete the following.

[ENTER BUSINESS NAME, ADDRESS]
Phone: (123) 456-6789
Email: YourName@YourEmail.com
Website: YourWebsite.com
  • PRIMARY APPLICANT INFORMATION

    Please complete the following
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  • PRIMARY APPLICANT EMPLOYMENT

    Please complete the following
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  • PRIMARY APPLICANT REFERENCES

    Enter at least one reference:
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  • CO-APPLICANT INFORMATION (IF APPLICABLE)

    IF THERE IS NO CO-APPLICANT, SKIP THE SECTION BELOW AND SCROLL DOWN TO "ACKNOWLEDGEMENT AND CONSENT" BEFORE SIGNING
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  • ACKNOWLEDGEMENT AND CONSENT

    NOTICE: I, the Undersigned, hereby authorize the [ENTER ORGANIZATION NAME] and and/or “prospective creditors” to verify credit and employment history as stated above and to answer questions about credit experience with me.

    If this application is made pursuant to any credit program for attendees and/or graduates of schools or educational institutions, then prospective creditors may verify my eligibility for such program, including by inquiry to my school(s) or educational institution(s).

    In connection with this application for credit, prospective creditors may request a consumer (credit) report. On my request, prospective creditors will advise me if the report was actually ordered and if so, the name and address of the agency that furnished the report. Prospective creditors may order subsequent consumer (credit) reports.

    I authorize prospective creditors to ask my past and current creditors (”credit references”), including creditors listed above or on my consumer (credit) report, about my credit performance with them. Provision by prospective creditors of a copy of this authorization shall serve as my direction that my credit references provide my credit performance information.

    Everything that I have stated in this application is complete and correct to the best of my knowledge and constitutes my entire application for credit with the prospective creditors. I understand that prospective creditors will retain this application whether or not it is approved. I will notify prospective creditors, if applicable, within a reasonable time of any change in my name, address or employment.

    To the extent permitted by law, i consent that you, your assignees, and your agents may contact me at any telephone number you have for me, including any cell phone numbers and any phone numbers listed on this document, by any means you select, including an automatic telephone dialing system, text messaging, and/or an artificial or pre-recorded voice.

    We warrant to [ENTER ORGANIZATION NAME] that neither a bankruptcy proceeding nor a proposal is now or about to be made about us.

    We warrant to [ENTER ORGANIZATION NAME] that the information we have given to prospective creditors in this application is true and correct.

    Please sign below
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