Application Fee - Credit Release Form

Application Fee - Credit Release Form

*Application Fee is $75.00 covers 2 applicants and 1 business
Full Name*

First NameLast Name
Personal Phone*

Area CodePhone Number
Business/Alternate Phone

Area CodePhone Number
Birthdate*

MonthDayYear
Date
Social Security #*
Business Name Tax ID if Available

Business NameTax ID: If availalbe
E-mail*
Address Personal *

Street Address

Street Address Line 2

CityState

Zip Code
Have you had your credit file frozen recently?*
Signature Permission*

Clear
I give permission to VEDIC to do credit checks on myself and/or the business I own for the purpose of securing a business loan with VEDIC. $75 Application Fee will cover two reports and business report. If additional applicants are needed additional fees will be charged. Reports will be pulled after receiving you *$75 Application Fee which can be mailed to VEDIC Box 1225 Valdese, NC 28690 or you will be billed.
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