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Let our Business Manager, Matt, help you finance the bike of your dreams!
FILL OUT THE SECURE APPLICATION BELOW AND SUBMIT DIRECTLY TO US.
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This Credit Application-Customer Statement will be submitted to Headwaters
Financial Corporation, and its successors and assigns, at 11180 Alpharetta
Highway, Roswell, GA 30076, for consideration of whether it meets the credit
requirements of Headwaters Financial Corporation, and its successors and
assigns.
Applicant will be required to obtain and pay for vehicle insurance covering the
collateral for the full term of the loan, for liability and physical damage for
both collision and comprehensive losses to include such perils as FIRE, THEFT,
and VANDALISM. Headwaters Financial Corporation, and its successors and assigns,
must be listed as a LOSS PAYEE AND ADDITIONAL INSURED. Applicant will provide
verification in the form of a certificate of insurance through an acceptable
carrier with thirty (30) days notice of any intent to cancel or non-renew to be
provided by the issuing carrier to the applicant and loss payee. YOU MAY CHOOSE
THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED.
NOTICE TO CALIFORNIA RESIDENTS: Regardless of your marital status, you may apply
for credit in your name alone.
NOTICE TO MAINE RESIDENTS: Consumer reports (credit reports) may be requested in
connection with this application. Upon request, you will be informed whether or
not a consumer report was requested and, if it was, of the name and address of
the consumer reporting agency that furnished the report.
NOTICE TO NEW YORK RESIDENTS: Consumer reports may be requested in connection
with the processing of your application and any resulting account. Upon request,
we will inform you of the names and addresses of any consumer reporting agencies
which have provided us with such reports.
NOTICE TO OHIO RESIDENTS: Ohio laws against discrimination require that all
creditors make credit equally available to all creditworthy 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.
NOTICE TO RHODE ISLAND RESIDENTS: Consumer reports may be requested in
connection with this application.
NOTICE TO VERMONT RESIDENTS: The creditor may obtain credit reports about you on
an ongoing basis in connection with this extension of credit transaction for any
one or more of the following reasons: (1) reviewing the account; (2) taking
collection action on the account; or (3) any other legitimate purposes
associated with the account.
NOTICE TO MARRIED WISCONSIN RESIDENTS: No provision of a marital property
agreement, a unilateral statement under Wisconsin Statutes 766.59 or a court
decree under Wisconsin Statutes 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.
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IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A CREDIT ACCOUNT WITH Headwaters Financial Corporation: 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 open a credit account with Headwaters Financial Corporation, 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.
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By signing below, I acknowledge that::
1. I understand that any credit insurance products and GAP (where applicable) are not deposits or other obligations of, or guaranteed or insured by, Headwaters Financial Corporation (HFC) or its affiliates. I understand that these products are not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States; and
2. I understand that I am free to purchase credit insurance products and GAP (where applicable) from another source, and that HFC does not condition credit on whether these products are purchased from HFC, and HFC does not require me to agree not to obtain these products from another source; and
3. I have received the Privacy Notice, I have read the Notice to Applicant(s) sections, and I agree to the terms and conditions set forth in this Credit Application-Customer Statement; and
4. I hereby certify that the information I have provided in this Credit Application-Customer Statement is complete and accurate to the best of my knowledge; and
5. I hereby authorize an investigation of my credit and employment history by HFC. I understand that my credit and employment history obtained in, and in connection with, this Credit Application-Customer Statement will be used in determining my eligibility for credit approval by HFC, and its successors and assigns. If approved, HFC, and its successors and assigns, may obtain credit information about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: (1) reviewing the account; (2) taking collection action on the account; or (3) any other legitimate purposes associated with the account.
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Note: Clicking the Submit button constitutes your legal signature(s) on this application.
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