I certify that I have completely and accurately answered all the questions on this application to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me now and during the term of the loan and to check my employment history now and during the term of the loan. I know that I am not protected by either LIFE Insurance or ACCIDENT and HEALTH Insurance in this loan note. I authorize the creditor to give credit information about me to its affiliates.
About your income: Alimony, Child Support, or Separate Maintenance Income need not be revealed if you do not wish to have it considered as basis for repaying this obligation. All income listed must be documented by Paystubs, W2, 1099, Job Letter or Tax Returns. I hereby authorize my employer to release information pertaining to my current employment status, including income verification.
The Federal Equal Credit Opportunity Act prohibits credit discrimination on the basis of race, color, religion, national origin, sex, marital status, age, or because all or part of a person’s income derives from any public assistance program, or because a person in good faith has exercised any right under the Federal Consumer Credit Protection Act. The agency which administers this law is the Federal Trade Commission Washington D.C. 20580. Should applicant’s credit be rejected, he or she is entitled to know the reason. In connection with this application or any future credit update, you are authorized to obtain a consumer report from a credit reporting agency. I understand that upon request, you will provide me with the name and address of such agency.
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