In this Terms and Conditions, the applicant is referred to as “I” or “ME” and the creditor and its service agent(s) are referred to as “YOU”. LoanMart may act as the broker for the loan, and may not be the direct lender. Loans in California, Delaware, District of Columbia, Florida, Illinois, Indiana, Kansas, Kentucky, Michigan, Mississippi, Oklahoma, Ohio, Oregon, South Dakota, Tennessee, Texas, Virginia, and Washington are made by Capital Community Bank, member FDIC. LoanMart is a service agent for Capital Community Bank.

I certify that everything I have stated in this application, and on any additional documents I may be required to submit with this application, is correct. I understand that YOU will retain this application whether or not it is approved. By checking this box, I authorize YOU to check my credit and employment history and to answer questions that others may ask about my credit record. I agree to update credit information at your request if my financial condition changes.

I authorize LoanMart and Capital Community Bank to share any transaction history of financial products I have obtained through LoanMart or that are serviced by LoanMart for the purpose of evaluating me for credit.

Notice to California Residents: A married applicant may apply for a separate loan.

NOTICE TO OHIO APPLICANTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.