CREDIT  APPLICATION

The Ohio laws against discrimination require that all creditors make credit equally to all credit worthy customes, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commssion administers compliance with this law.

I acknowledge that pursuant to the Fair Credit Reporting Act, my application will be submitted to lenders for the review of a sales finance contract written, or to be written, in connection with my purchase.

I certify that the above information is complete and accurate. I understand and acknowledge that the Credit Application will be retained whether or not it is Approved.

For information on your personal financing options, please fill out the information requested in the APPLICATION below, and then click on the "Submit" button.

First Name:

Last Name:

Home Phone:

Address:

City:

State:

Zip:

Email:

Social Security Number:

Date of Birth (mm/dd/yy):

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