Confidential Dealer Application

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Dealership Information




Applicant/Guarantor Information




Applicant/Guarantor Information




References

Notice of right to request specific reason(s) for credit denial

If your application for business credit is denied you will have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact CarBucks Floor Plan, 417 Woods Lake Road Greenville, SC 29607, (864) 234-9696 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The Federal equal credit opportunity act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract): because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Agency that administers compliance with this law concerning this creditor is: FDIC Consumer Response Center, 1100 Walnut Street, Box #11, Kansas City, Missouri 64106.

I hereby certify the information contained within this application and on any accompanying financial statements is true, complete and accurate. I authorize GrandSouth Bank DBA CarBucks to obtain personal and business credit information from a credit bureau and any financial institution, trade creditor that I have provided as well as any other credit investigation that GrandSouth Bank DBA CarBucks deems necessary. I authorized GrandSouth Bank DBA CarBucks to contact any third persons and to disclose information, including information contained within this application for the purpose of among other things, obtaining inter creditor agreements and protecting GrandSouth Bank DBA CarBucks security investment.

 

By signing electronically below, you confirm you agree to the terms listed above.




By checking this box, I affirm that all information provided on this application is complete and accurate to the best of my knowledge. I understand that I may need to provide additional documentation to support my responses. I understand that any misrepresentation or false information given may result in disqualification from the CarBucks program.