I submit that this information is true and complete, and grant authorization for Firestone Financial Corp. to inquire about credit experience and to make inquiries of credit reporting agencies and authority is granted for the furnishing of this information.

If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial.
To obtain the statement, please contact Firestone Financial Corp. within 60 days from the day you are notified of our decision.
We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

 Notice: The Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race,
color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract):
familial status, sexual orientation, ancestry, handicap or whether or not all or part of the person's income derives from any public assistance program, or whether the applicant has in good faith exercised any right under the Consumer Credit Protection Act.

The federal agency that administers compliance with this law concerning this creditor is Federal Deposit Insurance Corporation,
15 Braintree Hill Office Park, Braintree, MA 02184. The state agency that administers compliance with the state law in
Massachusetts is the Commission Against Discrimination, One Ashburton Place, Boston, MA 02108

Please click on the "Submit Form" button below to complete your inquiry.
Be patient  - It can take up to one minute to process this form and your inquiry completely.