By checking on the boxes and clicking the “Submit” button below, I hereby authorize, consent, and agree to permit Stockyards City Equipment and Rentals to check my credit, employment history, and to verify my income and personal information purposes of processing my loan application, which may include verifying my information through third parties and credit bureaus. Additionally, I hereby authorize, consent, and agree to answer any additional questions and to provide any additional information to Stockyards City Equipment and Rentals upon request, related to my application. I hereby certify that the information and data provided in this request form and application is true and correct and that Stockyards City Equipment and Rentals may rely upon the accuracy of this information in processing, reviewing, and qualifying me based on my request for a loan. Stockyards City Equipment and Rentals will utilize the information provided in connection with my request in accordance with applicable federal and state laws, rules, and regulations. I further consent and agree that Stockyards City Equipment and Rentals may contact me by telephone, text, or email in connection with this loan request. My consent for Stockyards City Equipment and Rentals to use the information provided continues and is subject to Stockyards City Equipment and Rentals's DISCLAIMERS AND PRIVACY POLICIES. If I accept any credit card offer I agree to be bound by the applicable Cardholder’s Agreement (e.g. VISA) and all amendments thereto. By clicking the “Submit” button, I agree that Stockyards City Equipment and Rentals will process my request, and I understand that nothing in this form or the application process guarantees that I will qualify for a loan.