Customer Application and Information Request Form
you are applying for credit through this
electronic process, you should be aware of the following information and must
affirmatively agree to the following:
If you proceed, you are agreeing to complete the application process
Your responses to all questions throughout either electronic process will
be recorded and made part of your electronically signed documents.
You have the option to complete this process using the traditional paper
and ink signature process. You must contact Whitestone Financial at 336-712-9612
if you wish to sign your application in ink.
Your electronic signature will consist of your typed name and email
address which will be unique to you.
your name below and clicking on Submit below, you acknowledge and agree to
all of the following:
I have read and understood the foregoing;
I agree to proceed with the credit application through electronic means;
I acknowledge and agree that the individual completing this Consent to Proceed Electronically is the individual whose name the application is being requested and whose name is typed below.
I acknowledge that Whitestone may retrieve a consumer credit report and I grant them permission to do so based on my information and electronic signature.