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Application for Retail Store

  • General Business Information

  • Dashes are not needed when entering phone numbers.
  • Dashes are not needed when entering phone numbers.
  • Legal Structure and Ownership

  • NameTitleOwnership % 
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  • Owner Information

  • Dashes are not needed when entering phone numbers.
  • Second Owner Information

  • Dashes are not needed when entering phone numbers.
  • Dashes are not needed when entering phone numbers.
  • Banking and Financing Information

  • Checking Account

  • Dashes are not needed when entering phone numbers.
  • Dashes are not needed when entering phone numbers.
  • Company NamePhoneHow Long? 
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  • Additional Information

  • Reference 1

  • Reference 2

  • Reference 3

  • Authorization and Certification

  • The undersigned herby certifies that the foregoing information is true and complete and made for the purpose of determining the undersigned’s eligibility for credit. The undersigned agree that this application shall remain in Great American Finance Company’s property whether or not accepted. The undersigned further authorizes Great American Finance Company to make all inquiries deemed necessary to verify the accuracy of the statements made herein, and to determine the creditworthiness of the undersigned by procuring consumer reports from consumer reporting agencies and credit information from other financial institutions and extenders of credit, references, present and former employers, merchants, landlords, and creditors.

  • This E-Sign Disclosure and Consent Notice ("Notice") applies to all communications, as defined below, for services provided by EZ Credit 2K, Inc. and our affiliates. Under this Notice, communications you receive in electronic form from us will be considered "in writing”.
  • This E-Sign Disclosure and Consent Notice ("Notice") applies to all communications, as defined below, for services provided by EZ Credit 2K, Inc. and our affiliates. Under this Notice, communications you receive in electronic form from us will be considered "in writing”.