-REFERRAL PARTNER PROGRAM – Client Financing

REFERRAL PARTNER PROGAM

Step 1 of 4

BUSINESS INFORMATION:

Corporate/Business Name:(Required)

DBA:(Required)

Company Website:(Required)

Date Company Established:(Required)

Address :(Required)

Phone #:(Required)

Company Email :(Required)

Property Owned by/or Landlord Name:

PRINCIPAL/OWNERS/OFFICERS:

Name(Required)

PHONE #(Required)

Address :(Required)

TRADE REFERENCES:

Name

PHONE #

Address :

Finncy and it's Partner's I understand the guidelines below prior referring a potential client to Client financing I understand SFC requires the following documents: 1 year time in business, Minimum of $50,000/mo sales volume, Proven program/product with excellent results,Articles of Incorporation, Most recent Financial Statements (business),Last three months bank statements,Copy of Business License.

Signature Officer/Owner/Partner(Required)

Title(Required)

I authorize ClientFinancing and partners to verify or obtain further information as it may deem necessary concerning the entity and its Partners and Owners, including the use of credit reporting agencies.

I or we if there is a co-applicant (the “Applicant” or “I”) acknowledge that by clicking the box, “I Accept & Agree with the Authorization, Disclosures, Terms and Conditions and the Arbitration Provision” (contained in this website link), I am indicating my intent to sign this Credit Application and that this shall constitute my/our signature. I acknowledge that I have viewed, read and agreed with the “Authorization, Disclosures, Terms and Conditions and the Arbitration Provision” (contained in this website link) before signing this completed Credit Application; and, I have signed this completed Credit Application with one or more electronic signatures and my electronic signature has the same effect as my written ink signature. I agree and acknowledge that by providing my name, social security number or tax payer identification number, birth date and/or other Identifying Information in the Credit Application Information, I confirm my intent to apply for credit, to sign the Credit Application and to provide the authorizations given above and confirm the validity of my signature. The Creditor (including any assignee, transferee, or successor of the Creditor, including, specifically, Home Acceptance Corporation) may rely on this authorization as if I had personally signed this completed Credit Application.

By clicking on the box, “I (the “Applicant”) Accept & Agree with the Authorization, Disclosures, Terms and Conditions and the Arbitration Provision” (contained in this website link)

AGREEMENT TO ARBITRATE (If You Check the Box): You (the “Applicant”) agree and accept the Arbitration Provision (contained in this website link), the Applicant or We may elect to resolve any dispute by neutral, binding arbitration and not by a court action (except, for a small claims court action). See the Arbitration Provision for additional information concerning the agreement to arbitrate.

All information will be held in strict confidence