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955 Hancock Street Franklinton, La 70438


985-322-2028 Fax

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By clicking Submit, I warrant that the information provided in this credit application is true and correct and provides all existing information concerning my outstanding indebtedness and creditworthines. No debts have been omitted and all debts have been fully disclosed. I understand that the information provided, the verification of that information and any credit reports obtained will be reasonably relied upon by lender in approving or rejecting this application. I authorize lender to communicate with third parties and obtain such information as lender may require concerning the statements made in this application and my account including, without limitation, for the purposes of extending new credit, reviewing credit information or collecting my account. I authorize any third party to release information lender may require, now or in the future. This authorization includes, but is not limited to, lender contacting consumer reporting agencies to obtain a consumer report as well as nonaffiliated financial companies that may be listed on my appllication or in my consumer report. I further authorize lender to answer questions from my present or potential creditors about lender's credit experience with me, or from others who I may have authorized to receive such information. This consent may be revoked at any time. I understand that the purchase of credit insurance is not required by lender to obtain a loan. I understand that I will receive notice of approval or rejection of my application within 30 days of the action taken and that I can request lender's reasons if rejected. I authorize the lender to mail offers for new loans to me. I authorize the lender to communicate with me through mail, by phone, text message or social media.

 *All Loans Subject to Credit Approval*

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