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PASSAIC UEZ LOAN PROGRAM APPLICATION FORM
Passaic Enterprise Zone Development Corporation
PASSAIC UEZ LOAN APPLICATION
PEZDC wants to make your loan application as easy as possible. We have trimmed the amount of information required to the minimum and have sought to make every form simple and clear. We assure you that all the information requested is essential in order to process your credit request quickly. Your complete application should include the following:
I/we authorize and instruct any person or consumer reporting agency to compile and furnish to PEZDC (via UCEDC) any information it may have or obtain in response to such credit inquiries and agree that same shall remain your property whether or not credit is extended.
All information set forth in this application is declared to be a true representation of facts made for the purpose of obtaining the credit requested and any willful misrepresentation on this application could result in criminal action.
PEZDC (via UCEDC) may request a consumer (Experian, Trans Union, Equifax, etc) or business (Dun & Bradstreet) report in connection with this application and subsequent consumer and/or business reports in connection with updating, renewing or extending the existing or future extensions of credit. Upon your written request, we will provide the name and address of the consumer agency furnishing such reports to us, if any.
YOUR SIGNATURE:
LOAN REQUEST
BUSINESS RECORDS
If none, type N/A
If none, leave blank
Are there any outstanding judgments, garnishments or other legal proceedings against you or your business? If so, please explain:
Have you or your business ever declared bankruptcy?
Have you or your business ever had a judgment against you?
Are any assets pledged or debts secured except as shown?
Have you had property foreclosed upon or made a settlement with creditors?
Gender (select one:)
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The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, nationals origin, sex, marital status, age (provided that 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 administrates compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Room 500, 633 Indiana Avenue, N.W., Washington, DC 20580.
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