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Consent Statements

By submitting this loan application you, the applicant, and co-applicant (if any) agree that you are applying for any product that any financial institution participating in the GreenSky® Program (a “Lender”) may offer as part of the GreenSky® Program, regardless of any product your merchant may have specifically discussed with you.

THE FOLLOWING IS IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens a new account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

In addition, the following notices, disclosures, and authorizations apply to your application.

Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have them considered.

By submitting this application for credit, you certify the following: (1) all of the statements (whether verbally or written) communicated to us, or to your merchant, are true and correct, and are made for the purposes of obtaining credit; and, (2) if more than one applicant is applying, each applicant intends to apply for joint credit and none is a co-signer (a “co-signer” is a person who agrees to be liable for the debt of another person without receiving the benefit of the loan, whereas a “joint applicant” is a person who intends to apply for joint credit and will receive the benefit of the loan; although we allow joint applicants to apply for joint credit, we do not allow borrowers to use “co-signers”).

In addition, you authorize the GreenSky® Program, on behalf of the Lenders participating in the Program, to (1) obtain a credit report on you for any legal purpose in connection with this loan application, including any account update, extension of credit, or review or collection of your loan; and, (2) notify your merchant of our credit decision, including your credit score, and if approved, the credit decision and loan information, including, but not limited to, your approved credit limit, the repayment period for your loan, your approved APR, and account number. If you request, you will be informed whether a credit report was requested and, if so, the name and address of the consumer reporting agency that furnished this report. You also agree to provide additional financial information upon request.

By submitting this loan application, you expressly authorize the shared disclosure of loan related information, including but not limited to, your credit decision, proposed loan terms, and personal credit scores to any co-applicant, which will have the same effect as personal delivery to you. Also, if you provide an email address, we, and or the merchant, may use it to contact you about our products, services, special offers and other promotions.

Where applicable, you will be charged a one-time Account Activation Fee of $39 at the time of first purchase.

Mobile Number: By providing your mobile number, you authorize us to contact you at that number using automated dialing technology or artificial or prerecorded voices for any purpose related to servicing your loan. You are not required to consent to this use as a condition of this loan application. You may revoke your consent at any time by contacting us at P.O. Box 24929, Atlanta, GA 30359.

Finally, upon loan approval, a Shopping Pass will be issued to you. Use of your Shopping Pass or your installment loan to make a purchase, whether in store, online, on the telephone, through your merchant, or otherwise by any borrower authorized on the loan agreement, will constitute acceptance of the loan and the loan agreement governing the Shopping Pass by all borrowers. The physical and electronic records of any such purchase will constitute the signature of all borrowers on the loan agreement.

NOTICES:

California Residents: If you are married, you may apply for a separate account.
Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.
Vermont Residents: We are engaged in loan production. Your submission of this credit application is your written instructions to obtain a consumer credit report. A consumer credit report may be requested in connection with this application or in connection with updates, renewals or extensions of credit granted as a result of this application. Upon your request, you will be informed whether or not such a report was requested and, if so, the name and address of the agency that furnished the report.
Married Wisconsin Residents: If you are applying for individual credit or joint credit with someone other than your spouse, and your spouse also lives in Wisconsin, combine your financial information with your spouse’s financial information. No provision of any marital property agreement, unilateral statement under Section 766.59 of the Wisconsin statutes or court order under section 766.70 adversely affects the interest of the lender, unless the lender, prior to the time credit is granted, is furnished a copy of the agreement, statement of decree or has actual knowledge of the adverse provision when the obligation to the lender is incurred. If married, you understand that your lender must inform your spouse if a credit account is opened for you.

LICENSES: NMLS #1416362; CT SLC-1416362; NJ MT #1501607 C22

Special Consent to Electronic Disclosures and Communications*

You, the Applicant, have read and accepted the Account Opening and Other Important Disclosures provided to you. You agree to the Consent to Electronic Records and agree to receive electronic documents in connection with any loan obtained as a result of this application.

Consent to Electronic Records and Communication

Consent to Submit Application*

You, the Applicant, understand that by selecting this box, you authorize Lender and its representatives, successors, and assigns to investigate your creditworthiness and obtain a credit report for you for any lawful purpose, including, but not limited to, any extension of credit, renewal, servicing and collections. Upon request, Lender will inform applicant of whether a credit report was obtained and if a report was obtained, the names and addresses of the credit reporting agencies that furnished the report. By clicking "Submit", you certify that the Application Information is true and accurate.

By clicking "Submit Application," I certify that the application information is true and accurate.

By submitting this Loan Application, you agree that you are applying for any product any financial institution participating in the loan program (each "Lender") may offer as part of the program regardless of any product(s) your retailer may have specifically discussed with you. You also agree that affiliates may contact you with associated credit and financing related products and programs.

LICENSES: NMLS #1416362; CT SLC-1416362; NJ MT #1501607 C22

Consent Statements - 2nd Look Financing

Consent to Submit Prequalification Application: 2nd Look*

By clicking the box to the left and submitting an application electronically for processing, you hereby certify that you are at least 18 years of age (19 in AL or NE) and that everything you have stated above is true and accurate. You certify that you do not presently have a petition filed under federal bankruptcy laws (whether voluntary or involuntarily) and do not anticipate filing a petition. If approved for credit, you agree to be bound by the terms of the Credit Agreement provided to you. You authorize Mid America Bank & Trust Company, its successors, assigns and agents (the “Lender”) to investigate your creditworthiness and to obtain a credit report on you for any lawful purpose, including any update, extension of credit, review or collection of my account, and you specifically authorize the release of such information to creditor. If you request, the Lender will tell you whether any credit report was requested, and if so, the name and address of the consumer reporting agency furnishing the report.

Consent to Electronic Disclosures: 2nd Look*

By clicking the box to the left you certify that you have read, retained and agree to the Consent to Electronic Disclosures and understand that this constitutes your electronic signature authorizing us to process this form on your behalf. Important Information About Procedures for Opening a New Account To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you apply for a loan, we will ask your name, street address, email address, date of birth and other information which will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. State Law Notices California Residents: If married, you may apply for a separate account. Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law. Vermont Residents: Lender is engaged in loan production. Married Wisconsin Residents: No provision of a marital property agreement, a unilateral statement under section 766.59 or a court decree under section 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred. We may ask you to provide the name and address of your spouse.

Special Consent to Electronic Communication: 2nd Look*

By clicking the box to the left, you expressly authorize the Lender to contact you about your application and any credit extended, or for any other lawful purpose, including, without limitation, customer service or collection, at any address or telephone number that you may, from time to time, provide (including any cellular telephone number, VOIP or ported landline), and expressly including, without limitation, calls made using automatic dialing and announcing devices that may play recorded messages.

Credit Application

Consent Statements

Consent Statements - 2nd Look Financing