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Account Information

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Additional Information

(Before Taxes)
(child support,disability,rental property,retirement,salary,social security,spouse's income, etc.)
Married Separated Unmarried (including single, divorced, and widowed)
(Required if including spouse's income)
- - (Required if including spouse's income)
Yes No
Yes No
Yes No

Legal Description of Property: (Ex. Lot, Block, Phase, if applicable)

Original Debt Present Balance Monthly Payment

Everything that I stated in this application is correct to the best of my knowledge. I also agree to report any changes to my credit history that are not included on this report. I understand that you will retain this application whether or not it is approved. Santee Cooper is hereby authorized to check my credit and employment history and to answer questions about my credit experience with Santee Cooper. I also understand that under this program Santee Cooper offers no guarantee or warranty, expressed or implied, on the workmanship or performance of the conservation measures or associated equipment.

I have read and understand the information found here.

 By checking this box, you confirm that you have read and agree with the above statement.