• Citizens Finance of Sylacauga, Inc.

    Telephone: (256) 245-6602
  • Tell Us What You Need

  • Applicant's Personal Information

  • Applicant's Current and Previous Address

  • Length of Time at Current Address (years & months):

  • Applicant's Employment History

  • Length of time at your current employer (years & months):

  • Application Type

  • NOTE: If you would like to apply for a Joint Loan, each person should complete a separate application.

  • Additional Income

  • NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

  • Current Creditors

  • Items Purchasing (if applicable)

  • Auto Information (if purchasing auto)

  • References

  • Please tell us who submitted this application.

  • If any required information is not provided, this application will be considered incomplete.

  • PLEASE READ BEFORE PROCEEDING

  • FCRA Disclosure Regarding Account Information

    From time to time, Citizens Finance of Sylacauga, Inc. ("Creditor") may share information about me with its affiliates.  I may prohibit your doing so except for information pertaining solely to transactions or experiences between Creditor and me by providing written notice to Creditor.  Such notice will include my account/loan number, name of account holder, address, and telephone number; and will be sent to:

    FCRA Compliance Department
    1369 W. Fort Williams Street
    Sylacauga, Alabama 35150

    Further, if I believe that any information relating to me held by Creditor is inaccurate, I will notify Creditor of the specific information that is inaccurate at the above address.

    Consent and Authorization:

    The information that I have stated in this Application is complete and correct, and no material debts have been omitted.  I acknowledge that Creditor is relying upon the complete accuracy of the information submitted, and that false or misleading information constitutes an attempt to defraud Creditor. I hereby authorize Creditor to obtain, verify and confirm any information about me, or my credit and employment history, or such other information as Creditor may require concerning the statements made in this Application, from credit reporting agencies, directly from my creditors, my landlord or other business or individuals, and my current or former employers.  

    I hereby authorize and consent to any third party’s releasing such information to Creditor.  This authorization includes but is not limited to Creditor’s contacting non affiliated finance companies

    that may be listed on the Application or credit report for the purposes of inquiring about previous extensions of or applications for credit.

    I additionally authorize Creditor to answer questions from my present or potential creditors about Creditor’s experience with me, or from others whom I may have authorized to receive such information.

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