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Financing Solutions For Your Products & Services
Client Financing
Financing Solutions For Your Products & Services
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Servicing Application
Servicing Application
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Fax
All payments collected for your Merchant will be direct deposited into your bank account (preferred) or mailed to you (if requested) once a month. Please specify if you have an alternate address/office, other than the Merchant, where you would like your mail, reports and payments sent
I agree
Mailing Address (If different from Merchant address)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Merchant Owner (print name)
First
Last
Managers/Key Personnel (print name)
First
Last
Merchant Email (this will be your login name)
Email for Primary Contact (if different from Merchant email)
Interest Rate
0.00%
14.90%
19.90%
Other
Sales Tax Rate in your County
% - If non taxable, put 0% (please contact us tax rate changes)
Direct Deposit: Routing Number
(Please list the bank account in which you will receive your monthly deposits)
Direct Deposit: Account Number
(Please list the bank account in which you will receive your monthly deposits)
Bank Name:
AGREED TO AND ACCEPTED BY:
(Required)
Signature
Name
First
Last
Title
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Consent
I agree to the privacy policy.
Terms and Conditions
PROGRAM SUMMARY:
1. Unlimited Contracts: Merchants may offer an unlimited number of Consumer contracts.
2. Consumer Down Payments: InStore Finance suggests that Merchants collect and keep a down payment of at
least 10% to 80% of the total sale amount, plus sales tax for the total sale amount, when the Consumer contract
is initiated.
3. Payments: InStore Finance will bill Consumers monthly based on the schedule generated when the contract is
initiated. ACH is the preferred payment method, with Consumer payments automatically deducted from their
checking or savings account each month (credit cards are not accepted). (Note: Consumers who do not opt-in
for ACH automatic payments may still be approved and may mail in paper checks for their monthly payment,
but these non-ACH contracts must each be approved by InStore Finance in advance and InStore Finance will
respond to these requests within 10 business days after receiving the request in writing.)
4. Consumer Application Fee: InStore Finance will collect a fee of $49 from the Consumer (the “Consumer
Application Fee”) though ACH at the time the contract is signed or within two days after the contract is initiated.
5. Credit Checks: InStore Finance does not do traditional credit checks on Consumers. Other verification processes
may be used to verify bank account accuracy, funds, and Consumer addresses & identification.
6. Interest Rate: Consumers only pay interest on the principal, not the total sale amount. The principal owed and
the interest rate are used to determine the Consumer’s monthly payment
7. Prepayment: There is no prepayment penalty. Consumers who choose to accelerate payments may save some
interest expense. Consumers who pay the total principal due within 90 days will have all interest charges
deducted, and thus the contract will be interest free. When Consumers prepay, Merchants will still be charged
the Contract Service Fee noted below.
8. Payment Term: The payment term is 1 to 48 months.
9. Contract Service Fee: InStore Finance retains 10% of the total sale amount excluding sales tax (the “Contract
Service Fee”). Contract Service Fees owed will be deducted from the funds forwarded to the Merchant each
month. The Contract Service Fee is calculated on a pro rata basis across each payment so that InStore Finance’s
motivation to collect funds is aligned with the Merchant’s finances. If a consumer stops paying on a contract,
InStore Finance and the Merchant both don’t collect the money they are due. If a Consumer’s account is sent
to a collection agency, all of the net recovered funds go to the Merchant less the collections, court costs, and
IGW Service Fees. The Contract Service Fee will be deducted in full for accounts that are pre-paid by Consumers.
10. Payment to Merchant: All interest and principal collected for the Merchant’s Consumer contracts will be
forwarded to the Merchant once a month, less the applicable Contract Service Fee, preferably electronically via
EFT into the Merchant’s bank account.
11. Bank Fees: InStore Finance pays for predetermined bank fees, including ACH fees and NSF fees.
RETURN POLICY: If a product return falls within the Merchant’s approved return policy criteria and results in a
reversed sale, InStore Finance will reverse any Merchant and Consumer fees on that transaction. If a Merchant
accepts a product return at a discount and the contract is willingly closed or terminated by the Merchant, InStore
Finance will no longer charge additional Contract Service Fees beyond what has already been collected for that
contract.
LATE FEES/COLLECTIONS/LEGAL ACTION: InStore Finance may charge and retain late fees from the Consumer
when additional services are required to collect the debt including, but not limited to, the following: past due calls,
sending additional invoices, legal fees, certified mail, returned checks/ACH, returned credit card processes, and
tracking of bad phone and address information. No additional service fees are charged to the Merchant. InStore
Finance reserves the right to determine if and when a delinquent Consumer account should be sent to a collection
agency. Once sent to a collection agency, the account cannot be withdrawn from the collection agency. InStore
Finance may pursue legal action against a Consumer in default in order to recover the outstanding balance for the
Merchant. Attorney fees, court costs, and any legal costs in this process may be charged to the Consumer during
the litigation process. In case of default, the Consumer account may be sent to a collection agency. All net recovered
funds on the outstanding balance will be sent to the Merchant. Notwithstanding the foregoing, judgments collected
will pay court and legal fees first, followed by the outstanding balance. InStore Finance may close a Consumer
account in bankruptcy. ALL BILLING AND COLLECTION ACTIVITIES ARE THE RESPONSIBILITY OF INSTORE
FINANCE, AND ALL DESCRETIONARY DECISIONS RELATED TO SUCH ACTIVITIES ARE MADE ONLY BY INSTORE
FINANCE.
RETURNED CHECK/ACH POLICY: A non-sufficient funds (NSF) fee will be added to the Consumer’s outstanding
balance for each returned check/ACH due to InStore Finance. Any NSF fees collected from a Consumer will be
retained by InStore Finance to offset other banking charges.
FINANCIAL RESPONSIBILITY: Although InStore Finance may use many methods of billing for the Consumer
debt, including invoicing, calls, emails, collections, credit reporting and legal action, INSTORE FINANCE IS NOT
FINANCIALLY RESPONSIBLE TO PAY FOR A DELINQUENT CONTRACT BALANCE. INSTORE FINANCE IS NOT
RESPONSIBLE FOR ANY UNPAID PORTION OF THE CONTRACT BORROWED AMOUNT.
ECONOMIC HARDSHIP: In order to keep high payment success rates, InStore Finance reserves the right to alter
due dates, grant deferments, modify monthly bill amounts, and extend terms on a contract.
Privacy and Data Protection
InStore Finance is committed to protecting your privacy and the privacy of your Consumers. We maintain
industry standard security controls to ensure that your Consumers’ personal information is protected. Our
Privacy Policy located at www.InStoreFinance.com governs our use and disclosure of Consumer information.
Merchant Responsibilities
The Merchant must follow the InStore Finance sales process as covered during training. The Merchant’s
responsibilities include but are not limited to: (i) obtaining and entering correct Consumer information into
the IGW Credit Application form; (ii) photocopying each Consumer’s driver’s license or other form of
acceptable identification, (iii) ensuring that the Consumer’s application is properly submitted, (iv) collecting
the specified down payment amount, (v) obtaining the Consumer’s signature upon purchase, (vi) submitting
Consumer monthly payments online if they are made at the Merchant and printing a confirmation sheet, and
(vii) submitting a copy or original Consumer contract to InStore Finance, and (viii) retaining Consumer
documentation in a safe, secured, and locked area in the office. Merchant shall indemnify and hold harmless
IGW against any claims based on or arising out of Merchant’s failure to fulfill its responsibilities under this
Agreement.
Limitation of Liability
InStore Finance and IGW are not lenders and are not responsible for any unpaid debts to the Merchant, or for
any issues that arise from actions of Merchant employees or Consumers. IN NO EVENT SHALL EITHER PARTY’S
AGGREGATE LIABILITY FOR ANY CLAIM ARISING OUT OF OR RELATED TO THIS SERVICE AGREEMENT, WHETHER
IN CONTRACT, TORT OR UNDER ANY OTHER THEORY OF LIABILITY, EXCEED THE LESSER OF THE DIRECT DAMAGES
ACTUALLY INCURRED OR THE FEES PAID BY THE MERCHANT TO INSTORE FINANCE OR IGW DURING THE TWELVE
(12) MONTHS PRECEDING THE CLAIM. THE PARTIES AGREE THAT INSTORE FINANCE NOR IGW WILL BE LIABLE
FOR DAMAGES ONLY IF IT FAILS TO EXERCISE ORDINARY CARE, AND THAT IT SHALL BE DEEMED TO HAVE
EXERCISED ORDINARY CARE IF ITS ACTION OR FAILURE TO ACT IS IN CONFORMITY WITH COMMERCIALLY
REASONABLE PRACTICES.