Customer Credit Application

RESDIENCY & EMPLOYMENT

5 Year residency and employment required.


CO-APPLICANT INFORMANTION


The undersigned hereby authorizes us to initiate a credit investigation based upon the following information, which has been volunarily provided and warrants the truth and accuracy of this information. The undersigned further warrants that a bankruptcy proceeding is neither presently in progress nor anticipated and acknowledges receipt of this credit application. The undersigned also understands that if information is found to be fraudulent this applicaton will be subject to termination. The undersigned further recognizes that the Federal Privacy Act, or other laws, rules, or regulations may prohibit disclosure of such information without this expressed approval of authority. The undersigned hereby authorizes an investigation of credit and employment history, to include information obtained from credit reporting agencies