Distributor Information

Corp Prop Partner Llc
MEANS OF DISTRIBUTION ( Enter values for all that apply )

Bank Reference

Principal / Owner Information

Authorization, Representations And Warranties

I hereby authorize and consent to (JR Saver, Inc)and its assignees investigating and/or obtaining credit reports, employment history, trade-references and information regarding this application and any resulting accounts. If personal information has been provided, (JR Saver, Inc.) and its assignees has the right to obtain personal credit reports in connection with my request for credit for this new account, or when (JR Saver, Inc) and its assignees reviews my account.

I authorize (JR Saver, Inc.) and its assignees and the above-mentioned financial institution to deposit all funds payable to me automatically to my checking account(s). I also authorize adjusting entries, as they may be required. I understand that Direct Deposit may be altered by providing three weeks written notice to (JR Saver, Inc.) and its assignees. I further certify that the information provided above is true.

I hereby warrant and represent that:

(a) I have received a signed credit application from the perspective lessee, authorizing (JR Saver, Inc.) and its assignees to perform a credit check; and (b) to the best of my knowledge, the information provided in the credit application is not false, inaccurate or misleading.

Under penalties of perjury, I certify that: The Taxpayer Identification Number (TIN) on this form is correct; I am not subject to backup withholding due to failure to report interest and dividend income; and I at least 18 years of age, and a U.S. Citizen or permanent resident alien.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Facsimile signatures shall be deemed as fully enforceable valid signatures as if such signature were an original signature as of the date executed.

A signature is required for JR Saver, Inc. to be able to process your application

 
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