Please complete all appropriate sections, providing at least two years residence and employment history. If additional space is needed, please use back of this application.
READ TO APPLICANT: "If married, you have the right to apply for credit separately from or jointly with your spouse."
I/We the undersigned Applicant(s) for credit do hereby affirm that the information contained in this application is true and correct in all respects and I/we understand that it will be relied upon by Lendmark Financial Services, LLC, its subsidiaries and affiliates ("Lendmark"), and any seller of goods who may be assigning a retail installment sales contract to Lendmark ("Seller"), in making the decision to extend credit to me/us. I/we authorize Lendmark and Seller, if applicable, to make whatever inquiries they deem necessary to verify the information contained in this application, including, but not limited to, obtaining my/our personal credit reports. I/we authorize any person or credit reporting agency to provide any information that they may have about me/us in response to such inquiries and agree that such information, together with this application, shall be the property of Lendmark and Seller, as applicable, whether or not credit is extended.
OH DISCLOSURE: OH DISCLOSURE: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
CA DISCLOSURE: CA DISCLOSURE: Married persons may apply for separate accounts.