I hereby
certify: (1) the information provided is true and correct, (2) you are hereby authorized to investigate all bank, credit, and trade references, and said references are hereby authorized to release any requested information to you or your nominee, (3) such authorization shall extend to obtaining personal credit profile in considering this
application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account, (4) this information may be transmitted
by us to you and
by you to underwriter (s) for the purpose of granting me credit, either electronically or manually, and that
by submitting this
application, I take full responsibility for transmission thereof, (5) I am over 18 years of age, (6) I acknowledge my rights under the Fair Credit Reporting Act, (7) I consent to receive direct
mail, faxes, text - messages, and e-mails sent
by National Funding and its affiliates for the purposes of transmitting account updates, requests for information and notices, and (8) this request is for business and not for consumer purposes.
If the applicant fails to provide the necessary documentation requested
by the department within 90 days after the date of the receipt of the
certified mail request, the statement of eligibility and pending
application shall become invalid.
To purchase an ODR
by mail, you must send a written
application including your name (as appears on your drivers license), birth date, address (where you want the report
mailed), gender and Driver's License number along with a money order or
certified check of $ 15 to: