Credit Application

By filling out this form, I authorize GreatAmerica (or its designee) to review my credit, confer with the references listed, confirm any information provided and obtain
information from any credit reporting agency, all in connection with extending credit and reviewing and collecting on the resulting account.

Contact Information

Customer Information

 Prop Partner Corp LLC

Personal Information (Officers, Partners or Owners)

Vendor Information

Item Information

Lease Information

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DISCLOSURE OF RIGHT TO REQUEST SPECIFIC REASONS FOR CREDIT DENIAL GIVEN AT TIME OF APPLICATION. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain
the statement, please contact GreatAmerica Financial Serivices Corporation, 625 1st St SE, Cedar Rapids, Iowa 52401 (319-365-8000) within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for
the denial within 30 days of receiving your request for the statement. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status,
age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the
Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, D.C. 20580.