ARTISTIC!'S GENERAL CREDIT APPLICATION (ALL SERVICES)

First Name:

MI:

Last Name:

Suffix:

Additional Surname (if known by two surnames)

2.	Social Security Number: Mother's Maiden Name: - -
3.	Date of Birth: / / (mm) / (dd) / (yyyy)
4.	Contact number: 1 - ()- - *Contact Type:* Other Home Phone Cell/Mobile Pager

5.	Current Address: Same As Applicant Different Than Applicant
	Street:
	City:	State: Zip:
6.	How long have you been at this address? Years Months

7.	What is your Net Monthly Salary? $
8.	Are you currently retired? Yes No
9.	Who is your current employer? (if retired, last employer)
10.	How long have you worked for this employer? Years Months

CERTIFICATION & AGREEMENT:
Applicant or Co-Applicant information should be completed as applicable. Co-Applicant information must also be provided when the income or the assets of a person other than the "Applicant" (including the Applicant's spouse) will be used as a basis for loan qualification or the income or assets of the Applicant's spouse will not be used as a basis for loan qualification, but his or her liabilities must be considered if the Applicant resides in a community property state, the security property is located in a community property state, or the Applicant is relying on other property located in a community property state as a basis for repayment of this loan or the establishment of any line of credit whether personal or business. If the application is for business, the Applicant must sign as an authorizing officer of the business and when requested provide personal financial statements, business financial statements, personal and business tax returns (including schedules) as well as verification of income. Married persons may apply for credit as an individual and owners of businesses may sign as authorizing officer for the account requested. If this is an application for an individual account and you are relying on your own income or assets (except community property states, your separate income or assets) and not the income or assets of another person (or community property) for repayment of the credit requested, questions relative to marital status and to income resources and assets of the spouse's need not be answered. However, only the applicant's resources will be evaluated in determining credit worthiness whether this application is to be considered for a business or for personal the personal credit history of the Applicant and business will be considered in either case.

Applicant or Co-Applicant agree to pay the agency its 16.9% agency fee for any and/or all proceeds paid to Applicant(s) by any qualified lender who accepts the funding placement request of the agency. Any approved amount, assigned credit limits whether business loans, lines of credit, working capital loans, venture capital, asset financing, accounts receivables funding, bank wire transfers, business or personal credit cards, personal loans, line of credit checks and/or all other means for funding approval granted by any lender to Applicant(s) up to $100,000 shall be paid to agency at its 16.9% agency fee and/or at its 18.9% agency fee for any amount over and above $101,000 immediately upon receiving funding disbursements, credit limits, lines of credits and etc. as outlined herein. Applicant agrees that he/she shall immediately forward by Cashier's Check, Money Order, Bank Wire Transfer and/or by Line of Credit Check to the agency within 24-48 hours of being notified and/or receiving the approvals and/or funding as applied. Applicant(s) understand that he/she shall be charged a non-refundable application placement fee of $1,895.00 for any funding request submitted up to $300,000.00 and $2,595.00 for any funding request over and above $301,000.00 at time of application. Applicant(s) agree to return this application with the appropriate placement fee by fax and/or directmail as noted by agency. Agency agrees to provide Applicant(s) with an immediate reply of pre-approval within 24-48 hours from the date payment and application has been received. Applicant(s) confirms that he/she shall remain responsible for any and/or all debts incurring from the funding placement made on his/her behalf and shall hold agency harmless for any outstanding debts that he/she may hold personally and/or for its business once funds are paid to Applicant(s). Applicant(s) agree that he/she shall not apply for any other credit related services, products, or funding while the agency is making requests on his/her behalf to avoid non-circumvention and the possibility of its application being denied and/or forefeited. Applicant(s) understand that this application is not an immediate approval unless Applicant(s) meet all minimum requirements of funding placement. Applicant(s) personal fico scores must be at least 690-850 in order to submit this request and must provide agency with a Tri-Merge personal credit report, which can be downloaded immediately at: http://www.artistic-capitalcorp.com/CREDIT-REPORTS.htm for less than $45.00. Applicant(s) agree to provide a Tri-Merge credit report indicating all three (3) fico scores as well as the entire credit report for each Applicant applying to the agency as noted below. Applicant(s) signature below confirms their acceptance and agreement to abide by the terms and conditions as so noted by agency when executed, accepted and processed as requested.

APPLICANT SIGNATURE: __________________________________________

Applicant(s) Printed Name: ___________________________________________

DATE: ________________________________

CO-APPLICANT SIGNATURE: _______________________________________

Co-Applicant(s) Printed Name: __________________________________________

DATE: ________________________________

BROKER OF RECORD: __________________________________________

10.	Desired amount of loan or line of credit? $ * Up to $500,000 ++
11.	What is your Net Monthly Salary? $
12.	Do you have a checking and/or a savings account? Checking Savings Both No
13.	Are you a current Artistic! Capital Corporation customer? Yes No
14.	Are you currently retired? Yes No

17.	Read the Terms of Service
18.	I have read and accept the Terms of Service. Yes No

3.	Social Security Number: Mother's Maiden Name: - -
4.	Date of Birth: / / (mm) / (dd) / (yyyy)
5.	Contact numbers where you can be reached: 1 - ()- - *Contact Type:* Other Home Phone Cell/Mobile Pager 1 - ()- - *Contact Type:* Other Home Phone Cell/Mobile Pager
6.	Email Address: (Must provide a valid email address to submit your request.) I would like to receive information about Artistic!'s Annual Brokers Program at the email address above. I would like to receive information on earning $100 - $500 referring others at the email address above.