Financing Form Test

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  • Employer Information

  • References

  • Financial Information

  • By signing below, I certify that the information provided in this form is true and correct. I understand that any information provided in this form may be used by Merchant and/or Merchant’s consumer finance lenders (including, but not limited to, Lending USA, Mariner Finance, The HelpCard, United Consumer Financial Services, and Pay Tomorrow to verify my identity, credit status, and/or employment, and I fully release all parties from any and all liability for any damage that may result. Any false statement made by me shall be sufficient basis for rejection of this application. By signing below, I authorize for a loan or line of credit from one or more lenders. I authorize lenders to obtain consumer reports and related information from one or more consumer reporting agencies, such as Equifax, and other national database.
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