All Fields in Section 1 are REQUIRED to submit the Credit Application

  • If you are applying for individual credit in your own name and are relying on your own income or assets and NOT the income or assets of another person as a basis for repayment of the credit requested, complete Section 1 and sign.

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  • If You need to apply with a Co- Applicant. Call 614-638-8905 to add co-applicant, after submitting your credit application.

Credit Application  - Section 1
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Alimony, child support, or separate maintenance income do not need to be revealed if you do not wish to have if considered as a basis for repaying this obligation .

I/we certify that the above information is complete and accurate. You, the Seller, are authorized to investigate my credit and employment history, including obtaining my credit report from any credit reporting agency(s) of your choice. My/our authorization extends to affiliates of the Seller, including Assignees to whom the Seller may offer for purchase the installment credit contract being considered herein. I acknowledge that I have received a copy of this Credit Application.

Thanks for submitting!