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By pressing the "Next - Create Login & Password" button, below, I certify that my answers are true and complete to the best of my knowledge. I hereby authorize the verification of any and all information provided. 745­Cash is authorized to contact any party referenced above. I further authorize Golden Title Loans, LLC to obtain a credit report on my financial circumstances and I fully release all parties from all liability that may result. My electronic signature, provided by pressing "Next - Create Login & Password", indicates that I have waived my rights to Privacy Laws, including but not limited to the Fair Credit Reporting Act. This authorization to obtain a credit report extends beyond the term of this agreement and includes authorization to obtain a credit report in aid of any effort to collect monies due from me by virtue of this agreement. I understand this application may be rejected if any information I have provided is false or in any way incorrect or incomplete. I have read this agreement, understand, and will abide by it.

The parties to this application agree that this application may be electronically signed. The parties agree that, by pressing "Next - Create Login & Password", the applicant is providing their electronic signature and that the electronic signature on this application is the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.