ONLINE CREDIT APPLICATION
* required information.
In submitting this credit application, I certify that the information provided on this application is, to the best of my knowledge, complete and accurate. I understand that Roper West and financial institution(s) will rely on this information to judge my credit worthiness, and will retain this application and information about me whether or not this application is approved. Further, I authorize an investigation of my credit and employment history, in conjunction with which my credit report may be obtained from one or more consumer credit reporting agencies. I understand that false statements may subject me to criminal penalties. I further understand that Roper West and/or the financial institution(s) that evaluate my application may require additional information.
FAIR CREDIT REPORTING ACT DISCLOSURE: I understand that this application for credit will be submitted by Roper West to various financial institutions for evaluation.