The information that I have stated in this Application is complete and correct,
and no material debts have been omitted. I acknowledge that Pioneer Credit Company
is relying upon the complete accuracy of the information submitted, and that false
or misleading information constitutes an attempt to defraud Pioneer Credit Company.
I hereby authorize Pioneer Credit Company to obtain, verify and confirm any information
about me, or my credit and employment history, from credit reporting agencies, directly
from my creditors, my landlord or other businesses or individual, and my current
or former employers. I consent to such persons or entities providing such information
with whom Pioneer Credit Company believes that I have a credit account or am opening
an account. I (we) understand that this is an abbreviated application and a full
application will be required to close a loan.