IMPORTANT - APPLICANT READ BEFORE SIGNING
I hereby certify that all information contained in this
application and all attachments hereto, are true and complete to the best
of my knowledge, and are made for the purpose of obtaining credit. I authorize
Prime Funding Source or its assigns to verify any of the information from
whatever source it deems appropriate and I further authorize any of the
above references to release credit information to Prime Funding Source
or its assigns. I agree to notify you of any change in the condition of
my affairs, and this statement shall be construed by you to be a continuing
statement of the conditions of the undersigned until written notice to
the contrary is received by you. It is understood that this application
shall remain the property of Prime Funding Source, whether or not the
lease is granted, and that this constitutes an application only and shall
not be binding upon either Prime Funding Source or its assigns or the
applicant. A photostat or facsimile copy of this authorization shall be
valid as the original. By signature below, I/we affirm our identity as
the respective individuals identified in the related application. The
undersigned individual who is either a principal, a personal guarantor
or a sole proprietorship of the credit applicant, recognizing that his
or her individual credit history may be a factor in the evaluation of
the credit history of the applicant, hereby consents and authorizes PRIME
Funding Source or its designee the use of a consumer credit report on
the undersigned, from time to time as may be needed. If your application
for business credit is denied, you have the right to a written statement
of the specific reasons for denial. To obtain the statement, contact Prime
Funding Source within 60 days from the date you are notified of our decision.
We will send you a written statement of reasons for the denial within
30 days of receiving your request for the statement. Notice! The Federal
Equal Credit Opportunity Act prohibits creditors from discriminating against
applicants on the basis of race, color, religion, national origin, sex,
marital status, or age (provided the applicant has the capacity to enter
into a binding contract); or because all income derives from any public
assistance program or because the applicant has in good faith exercised
any right under the Consumer Credit Protection Act. The federal agency
that administers compliance with this law concerning this creditor is
the Federal Trade Commission, Equal Credit Opportunity, Washington, DC
20508.
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Proprietorship