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Personal Information

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Income Information

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Check Parts
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Additional Information

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The amount of this transaction - exclusive of finance charges - does not exceed 25% of the gross monthly income that you expect to receive during the term of the transaction.
If you are married please enter the following information.
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Additional Information

You must indicate you agree to each of the terms below and have read and understood the terms of associated documents.

WARNING ABOUT FRAUD AND IDENTITY THEFT: Attempting to obtain a credit transaction by providing false information, including but not limited to the use of false or altered documents and the use of another person's identity other than your own (Identity Theft), is fraudulent and, in some cases, punishable by law. Check `n Go reserves the right to report any and all information obtained in connection with a verified fraud attempt to local, state or federal authorities including the Internet Crime Complaint Center, an FBI-NW3C partnership, for possible investigation and prosecution. For more information about the NW3C and the FBI, visit www.ic3.gov.

Notice of Furnishing Negative Information: We may report information about your account to credit bureaus. Late payments, missed payments or other defaults on your account may be reflected in your credit report.

California Residents - Notice of Separate Account: California law requires that you be informed that if you are married, then you may apply for a separate account.