CRB

By submitting this application, I understand and agree that I am providing “written instructions” to Health Credit Services (“HCS”) and Cross River Bank (“CRB”), a New Jersey state charter bank, (collectively, “we”) under the Fair Credit Reporting Act authorizing HCS and CRB to obtain information from my personal credit profile or other information from one or more consumer reporting agencies in order to determine my qualification for financing. I authorize HCS and CRB to obtain my consumer report and related information about me from one or more consumer reporting agencies. I also authorize HCS and CRB to verify information in my application, and I agree that HCS or CRB may contact third parties to verify any such information.

Meta

By submitting this application, you understand and agree that you are providing “written instructions” to Health Credit Services (“HCS”) and MetaBank, a federal savings bank, (collectively, “we”) under the Fair Credit Reporting Act, authorizing HCS and MetaBank to obtain information from your personal credit profile or other information from one or more consumer reporting agencies in order to determine your qualification for financing. You authorize HCS and MetaBank to obtain your consumer report and related information about you from one or more consumer reporting agencies. You also authorize HCS and MetaBank to verify information in your application, and you agree that HCS or MetaBank may contact third parties to verify any such information.

I HEREBY ACKNOWLEDGE that I am over the age of eighteen (18) years, and that all of the information set forth in this credit statement is true, accurate and full and complete disclosure thereof. I am providing written consent under the Fair Credit Reporting Act for above client and its partners with whom I am matched to obtain a consumer credit report from a contracted credit bureau. I understand that I am submitting an application for credit, and am consenting to the use of my credit report information. I authorize any holder of this credit application or any person, firm or corporation requested to extend credit there under, (including any employee or agent of any of them) to communicate with my employer in order to verify my employment. I authorize any holder of the Retail Installation Contract, the creditor thereof, or any Attorney, debt collector or collection agency to communicating any and all information concerning this application or debt to any credit reporting agency or other creditor. By providing my email address, I consent to receive electronic information such as monthly billing reminders, statements and collection notices. I also acknowledge that you and your partners may use all contact information provided to contact me regarding this application, loan offer, account status or future issues. You may utilize electronic, mobile, autodialed messages, SMS or traditional methods. I further acknowledge and agree, that I will notify the creditor or prospective creditor in writing of any change in my name, address or employment within a responsible time thereafter.

I expressly authorize the third party lender I am matched with to share among its affiliates, loan servicers, and bank partners any transaction history related to my financial products or services received or serviced through the third party lender for the purpose of evaluating me for credit.

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