BadBoyz - SeaCoast Financial

ON THE SPOT PERSONAL LOAN

* Loan funds are disbursed to the agent, NOT the applicant. *

"*" indicates required fields

NAME

Cell Phone*

This field is hidden when viewing the form

Enter Validation Code

One-Time Password*

Password verified.

Home Address*

Email*

This field is hidden when viewing the form

Address

Street Address Address Line 2 City State ZIP Code

LOAN RETAILER

Loan Amount*

Monthly Payment*

This field is hidden when viewing the form

Total Interest

This field is hidden when viewing the form

Loan Term

This field is hidden when viewing the form

APR %

18% APR

This field is hidden when viewing the form

Monthly

This field is hidden when viewing the form

Term of Loan (Months)

Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures*

I Agree

Please read the information below carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect as a handwritten or “wet ink” signature. By signing this document, you agree to have reviewed this Consumer Disclosure and consent. You intend to transact business electronically, use electronic signatures instead of wet ink signatures and paper documents, and receive notices and disclosures electronically.

You are not required to sign documents or receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below.

Scope of Consent
Utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent at any time by following the procedures outlined below.

Paper Copies
You are not required to sign documents electronically or receive notices or disclosures electronically and may request paper copies of documents or disclosures if you prefer. You also can download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. Suppose you wish to receive paper copies instead of electronic documents. In that case, you may close this web browser and request paper copies from the “sending party” by following the following procedures. The “sending party” may charge additional expenses by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to receive electronic documents, notices, or disclosures at any time. To withdraw consent, you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and provide your future documents, notices, and disclosures in paper format. If, at any time, you choose to use our electronic signature system after withdrawing your consent, your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the following procedures.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You can always download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please get in touch with the “sending party” directly by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide:
Your name.
Email address.
The date on which you are withdrawing your consent.
Your telephone number and mailing address.

“Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy.

“Update Your Contact Information” Please provide the “sending party” with your name, email address, mailing address, and telephone number to allow them to identify you and update your contact information.

The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.

This field is hidden when viewing the form

authorizing IP

This field is hidden when viewing the form

Date*

Application ID: