Purpose for the
The loan amount:
Are you submitting
Individually or Jointly?
debts to be paid-off with the funds from
YOU CANNOT BE
DENIED CREDIT SIMPLY BECAUSE YOU CHOOSE
NOT TO BUY CREDIT INSURANCE. CREDIT LIFE
AND CREDIT DISABILITY AND HEALTH INSURANCE
ARE NOT REQUIRED TO OBTAIN CREDIT.
type of insurance can protect you and
your family by making consumer loan payments
if you become disabled or if you should
become deceased. The following type of
policy is available:
FILLING OUT THIS APPLICATION YOU AGREE TO THE
you have stated in this application is correct.
You agree that we may obtain and use consumer
credit reports and exchange credit and employment
information in connection with this application
and any update, renewal, or extension of credit
we may extend to you. You agree that your account
will be subject to the terms and conditions
of all applicable Loan Agreements and Disclosure
Statements. You agree that a photocopy or facsimile
of this application shall be as binding as the
original. You understand that we will retain
this application whether or not it is approved.