(includes Officers, Partners, Directors, or Proprietor)
(if applicable)
(includes deposit accounts and loans/lines of credit, if applicable)
Applicant represents that the information in this application is complete and accurate. In the event that GW MURPHY INC approves the requested credit, Applicant agrees to be bound by the Agreement provided to Applicant with this application. Applicant authorizes us to obtain credit information from credit reporting agencies, references, participating program merchants and any other lawful sources in considering this application and subsequently in connection with any Account. We may also periodically review and share information about the experiences or transactions with Applicant with credit bureaus or other parties that may lawfully receive such information. The undersigned individual (“Undersigned”) attests that (i) Applicant is a duly organized and validly existing entity in good standing in its jurisdiction of formation; (ii) the execution of this application has been duly authorized by all necesary action of Applicant; and (iii) the Undersigned is authorized to execute this application on Applicant’s behalf.