Health Smart Financial Service

Application:

Applicant Information






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Terms & Conditions

I agree, represent and warrant that the information I have given Health Smart Financial Services on this application (and otherwise) is complete and accurate and understand that Health Smart Financial Services is relying on that information. I authorize Health Smart Financial Services to collect credit, personal and other information provided on this application and from credit reporting agencies and other parties for the purposes of processing my application, and for administering any arrangements arising out of that application (the “Purposes”). I authorize the collection and exchange of information about me by Health Smart Financial Services and its affiliates for the Purposes, including the making by Health Smart Financial Services and its affiliates of whatever credit investigations and/or employment and income references as Health Smart Financial Services may deem appropriate from time to time, and to sharing or exchange of reports and information with credit reporting agencies, or any company with whom I have or may propose to have a financial relationship.

  By checking this box, the Borrower acknowledges the above, and in furtherance thereto, specifically authorizes the Lender to disclose the Borrower’s Credit Limit and contact information to Dundas Euclid Animal Hospital and to disclose, throughout the term of this Agreement, the amount of credit available to the Borrower from time to time.