By completing and submitting an application, I/we certify that I/we am/are of legal contracting age and that I/we have read, understood and agree to all
of the terms stated here. By signing below, I/we certify that all information provided on this application is correct and complete to the best of my/our
knowledge. My/our signature(s) also authorizes Energy Finance Solutions (EFS), a service offered by Wisconsin Energy Conservation Corporation
(WECC), or a lender of choice, to obtain my/our utility bill repayment history, delinquent tax, and property owner information from the City of Holland.
My/our signature(s) further authorize EFS to obtain a credit report(s) in connection with my/our loan request. If necessary, I/we further agree to provide
additional information to WECC/EFS, or lender of choice, to underwrite my/our loan request. I/We further understand and authorize EFS and WECC to
retain this application whether or not it is approved. Additionally, if this application is approved and the loan I/we have requested is made, I/we also
authorize WECC/EFS to share such information concerning: my/our electric and/or gas utility billing account number; the charges payable by me/us
under the promissory note that I/we will sign; and other non-public information that I/we provided for the purpose of underwriting and servicing my/our
I/We understand and agree that EFS and WECC do not guarantee the security of any data submitted electronically and will not be held responsible or
liable for interception by third parties. I/We understand and agree that in no event will EFS or WECC be liable for any technical, hardware or software
failure of any kind, any interruption in the availability of this service, any delay in operation or transmission, any incomplete transmission, computer
virus, loss of data, or other similar loss.
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applications on the basis of race, color, religion, national
origin, sex, marital status or age.