Credit Application Authorization
THE FOLLOWING ACKNOWLEDGEMENT AND AUTHORIZATION APPLIES TO EACH PERSON WHO SIGNS THIS CREDIT APPLICATION, WHETHER AS AN INDIVIDUAL OR JOINT APPLICANT, OR A CO-SIGNER.
I have answered all questions on this credit application fully and truthfully. I authorize you and any Credit Provider (defined below) to check any information provided on this application and determine my creditworthiness, including but not limited to obtaining credit reports, background reports and contacting references, employers, landlords, and creditors. Except as expressly stated in this credit application, I promise that I have no outstanding debts, obligations or loans to any person, business or entity (whether as a primary, co-obligor or guarantor) and that no lawsuits, judgments, liens or legal claims of any kind are now pending or threatened against me. If credit is extended to me, I authorize you and any Credit Provider to obtain credit reports and background reports for purposes of reviewing or taking collection action on my account or for other legitimate purposes associated with my account, as permitted by law. Once this credit application is submitted to you, you may retain it whether or not credit is extended.
I understand that my credit application may be submitted to multiple credit providers including banks, finance companies and other institutional lenders (each a "Credit Provider"), but will initially be submitted to Sunshine State Credit whose address is 461 East Hillsboro Blvd, Suite 200, Deerfield Beach, FL 33441-3572.
I understand that you will send me an electronic copy of my completed credit application via an email link. I may also contact JW Plastic Surgery at For Assistance Call: (305) 602-2500 or Sunshine State Credit at 954-420-9763 to obtain a copy of my completed credit application.
I understand that I may withdraw my credit application at any time without penalty by contacting JW Plastic Surgery at For Assistance Call: (305) 602-2500 or other Credit Provider and notifying them of my withdrawal. If the Credit Provider is Sunshine State Credit, the contact number is 954-420-9763. I understand that if my credit application has begun being processed, those actions already performed cannot be undone.
I authorize you to communicate with me about this credit application, and retail installment contract if I am approved for credit, via mail, messenger service, e-mail, text messaging, cell phone, and landline phone using the contact information I provide in this credit application.
Applicant:
Applicant:
By placing my initials in the space provided, whether acting as a single individual applicant, a joint applicant, or a co-signer, I HEREBY ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND, AND AGREE TO THE TERMS AND CONDITIONS OF THE FOREGOING CREDIT APPLICATON ACKNOWLEDGEMENT AND AUTHORIZATION.
Co-Applicant:
Co-Applicant:
By placing my initials in the space provided, whether acting as a single individual applicant, a joint applicant, or a co-signer, I HEREBY ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND, AND AGREE TO THE TERMS AND CONDITIONS OF THE FOREGOING CREDIT APPLICATON ACKNOWLEDGEMENT AND AUTHORIZATION.
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