Person Receiving Services


     
   


Loan Information

 
 

Date must be within 60 days. If not yet set, please provide an estimate.


Merchant

Prime Genetics LLC


Applicant

 
 
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Source of Personal Income

   

Agreement

By clicking the 'Submit application' button, you are providing written consent under the Fair Credit Reporting Act for United Credit and our lenders and partners with whom you are matched to obtain consumer reporting information from your credit profile or other information from one or more credit bureaus. You understand and agree that you are requesting prequalification for credit, and are consenting to the use of your consumer report information by United Credit and our lenders and partners to conduct anti-fraud security checks and evaluate your request. You understand that your application may be matched with multiple lenders, each of whom may obtain consumer report information from your credit profile. You also direct United Credit to share your information with other lenders and partners who may use that information to consider whether to prequalify you to apply for financing.



By clicking the 'Submit application' button, you agree that your electronic signature has the same legal meaning, validity and effect as your handwritten signature.

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