18 Union Street Sidney, NY 13838
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Income from alimony, child support or separate maintenance need not be revealed if the applicant does not choose to have it considered as a basis for repaying this loan
I/We affirm that all the information in this credit application is complete and true, whether completed by me/us or by you at my/our direction. During the review of my/our credit application, you may obtain my/our credit history and employment history, and if the application is approved, you may, at any time, obtain additional credit histories to review my/our account. I/We have the right to ask you for the name and address of the credit bureau which have you the credit history. I/We also give any other source my/our permission to give you credit information about me/us.
FALSIFICATION OF CREDIT INFORMATION TO THE BANK OR IT'S INDIRECT LENDING PARTNER IS A CRIMINAL VIOLATION OF FEDERAL AND ALL STATE LAWS. I/WE UNDERSTAND THAT THE FINANCIAL INSTITUTION TO WHICH THIS APPLICATION IS BEING PRESENTED WILL BE REQUESTED TO EXTEND CREDIT TO ME/US ON THE BASIS OF THIS CREDIT STATEMENT.