Secure Finance Application
Statement of Consent
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I
authorize an investigation of my credit and employment history and the release of information about my credit experience.
Please initial below to indicate that you have received a copy of our Privacy Notice and
agree to all of the above.
YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR IDENTITY IS
Your Contact Information
Name As It Appears on Driver's License
Physical Address Information
Previous Residence (If less than 2 years at Current Residence...)
Previous Employer Information (If less than 2 years at Current Employer...)