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APPLICANT



Residence Address
How long
How Long
How Long
All other monthly income
Total monthly income

CO-APPLICANT



Residence Address
How long
How Long
How Long
All other monthly income
Total monthly income
I authorize the Seller and its Assignee, BWK of Columbia, and its subsidiaries or affiliates, to make whatever inquiries it deems necessary in connection with this credit application and in the course of its review or collection of any credit extended in reliance on this application. I further authorize any person or consumer reporting agency to complete and furnish to the Seller and its Assignee, BWK of Columbia, and its subsidiaries or affiliates, any information that it may have or obtain in response to such inquires, and agree that such information, along with this application, shall remain the Seller’s and its Assignee’s property, whether or not credit is extended. All information stated in this application is declared to be a true representation of the facts and is made for the purpose of obtaining the credit requested. I acknowledge that my application for credit and any of the credit information you obtain will be submitted to BWK of Columbia, and/or its affiliates or subsidiaries.

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