No-Interest Financing Credit Application and Security Agreement Apply for a Credit Account with Boulevard Home today on our SSL secured application form below. Are You Applying In-Store?* Yes No Which BlvdHome Store Location Do You Shop At?* St. George Cedar City Mesquite Sleep Better Account Type New Individual Account New Joint Account Outside Financing Update Existing Account Who is your sales person? Full Name* First Last Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Personal Phone Number*Allow Text Yes No Work PhoneAllow Text Yes No Email Would you like your monthly statement emailed?* Yes No Paperless Statement Agreement Provided Upon RequestSocial Security Number* Gross Monthly Income*Income before taxes# of Dependents*012345678Do You* Own Rent Live with Relatives How long have you lived at your current address?*select one1-11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsMortgage / Rent Payment Amount*Date of Birth* MM slash DD slash YYYY Active Military?* Yes No Are you retired?* Yes No Employer* Position / Occupation* How long have you worked at your current job?*select one1-11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsEmployer Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Employer Phone*Do you have any other income? Yes No Other Income Monthly Annually Other Income AmountOther Income Source Driver's Licence #* State* Nearest Relative Not Living With You* First Last Relative's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relative's Phone* NOTE: YOU NEED NOT DISCLOSE INCOME FROM ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE UNLESS YOU WISH TO HAVE IT CONSIDERED AS A BASIS FOR REPAYING THIS OBLIGATION. Joint-Applicant Information Full Name* First Last Is Your Address The Same As Joint-Applicant?* Yes No Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country # of Dependents*012345678Do You* Own Rent Live with Relatives How long have you lived at your current address?*select one1-11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsMortgage / Rent Payment Amount*Personal Phone Number*Allow Text Yes No Date of Birth* MM slash DD slash YYYY Employer* Position / Occupation* How long have you worked at your current job?*select one1-11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsGross Monthly Income Work PhoneSocial Security Number* Driver's Licence #* State* Please upload your most current form of ID.* Example: Passport, State ID, Driver's License Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB, Max. files: 3. I / WE AGREE THAT THE FINANCE CHARGE ON MY / OUR ACCOUNT FOR EACH MONTHLY BILLING CYCLE WILL BE DETERMINED BY MULTIPLYING MY ACCOUNT'S AVERAGE DAILY BALANCE FOR THE BILLING CYCLE BY THE MONTHLY PERIODIC RATE WHICH CORRESPONDS TO THE ANNUAL PERCENTAGE RATE OF 21.99%. I / WE HAVE READ AND AGREE TO ABIDE BY ALL THE TERMS AND CONDITIONS OF THE ATTACHED BOULEVARD REVOLVING CHARGE SECURITY AGREEMENT AND FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT, WHICH IS INCORPORATED HEREIN BY REFERENCE AND MADE A PART OF THIS APPLICATION. I / WE HAVE RECEIVED A COPY OF THE SECURITY AGREEMENT AND DISCLOSURE STATEMENT. BOULEVARD HOME REVOLVING CHARGE SECURITY AGREEMENT I would like to apply for a revolving charge account with Boulevard Home. In connection with this application I agree and state as follows: 1. All of the information I have provided on this Agreement is true and accurate. I authorize Boulevard Home to make whatever inquiries are deemed necessary to determine the accuracy of the information. By my signature (including any digital or electronic signature) on the attached credit application, I agree to abide by all the terms and conditions of this security agreement. 2. By my signature I acknowledge that I have received a copy of the Federal Truth-In-Lending Disclosure Statement (on reverse side of this form) for the Boulevard Home Furnishings Revolving Charge Accounts ("Disclosure Statement"), and agree to pay all amounts I owe you according to the terms of the Disclosure Statement and this agreement. If for any reason the terms of this agreement change, I will provide you with such notice as is required by applicable law. 3. I will timely pay all amounts billed to me under the terms of the Disclosure Statement and any billing you send to me for credit extended under this Agreement, including all finance charges and other costs. Any purchase I make on credit as evidenced by sales slip, memorandum, invoice or similar document will be deemed to have been made under the terms and conditions of this Agreement. 4. You may require me to pay off my entire credit balance, plus accrued finance charges, all at once if I fail to make any payment on time, or if I breach any term of this agreement. 5. I agree that my liability for any purchases made under this agreement is joint and several, meaning that I am responsible for the entire balance of the account, whether incurred by myself, by any other applicant here under, or by any authorized user. 6. Application of payments and credits: To the extent that my monthly payment exceeds the total minimum payment, you will allocate the excess amount first to my regular revolving charge line, unless specified. Otherwise, you will allocate payments to the balance with the highest interest rate, in accordance with applicable law. 7. Transfers to regular revolving charge line: The unpaid balance of a special term will be transferred to my regular revolving charge line at the end of the special promotional period but before the minimum payment is calculated. You may, in accordance with applicable law, transfer the unpaid balance of a special term promotion to my regular revolving charge line if at any time I fail to pay the total minimum payment for my account within 60 days after the payment due date. Failure of payment will suspend all special promotional terms and the unpaid balances will be subject to all the terms of my regular revolving charge account. 8. Security Interest: To the extent permitted by applicable law, I hereby grant to The Boulevard a purchase money security interest under the Uniform Commercial Code in the merchandise purchased on my account until such merchandise is paid for in full. I agree to assist in executing any documents necessary to perfect your security interest. If I do not make the total Minimum Payment on my account by the payment due date, you may repossess any merchandise that has not been paid for in full. If the amount received on sale of the goods, including costs of repossession, storage, sale and other costs, is insufficient to pay all amounts I owe you, I agree to pay you the amount of any such deficiency. 9. I agree that, until the entire purchase price together with applicable charges shall have been fully paid for goods purchased under this Agreement, I will not remove the goods from my address set forth on the application, or sell the goods to a third party, without your prior written consent. 10. The decision to offer credit to me is entirely yours, and you may revoke any credit granted to me or decline to grant further credit to me for any reasons whatsoever, and at any time, to the extent not prohibited by law. 11. Definition of an Authorized User: Unlike a joint account holder, an authorized user doesn't have to go through a credit check to be added to the account. An authorized user has permission to purchase on the account but is not responsible for repaying the account balance. 12. In the event you are required to institute any legal action or to take other means to collect amounts I owe you, I agree to pay all of your costs of collection, including a reasonable attorney's fee. If I make payment on any purchase or billing by check, and the check is returned to you unpaid for any reason, I agree to pay you a minimum fee of $20.00 for each such check, or for each time a check is resubmitted for payment, together with your attorney’s fees and costs in collecting payment on the check. I agree that in the event you institute legal proceedings against me, such suit may be brought in Washington County and that Utah law will govern the interpretation or enforcement of this agreement. I hereby waive all objections to such jurisdiction and agree to submit thereto. Any judgment you obtain against me shall continue to bear interest at the annual percentage rate applicable to my account balance at the date of judgment.I / WE AGREE THAT THE FINANCE CHARGE ON MY / OUR ACCOUNT FOR EACH MONTHLY BILLING CYCLE WILL BE DETERMINED BY MULTIPLYING MY ACCOUNT'S AVERAGE DAILY BALANCE FOR THE BILLING CYCLE BY THE MONTHLY PERIODIC RATE WHICH CORRESPONDS TO THE ANNUAL PERCENTAGE RATE OF 21.99%. I / WE HAVE READ AND AGREE TO ABIDE BY ALL THE TERMS AND CONDITIONS OF THE ATTACHED BOULEVARD REVOLVING CHARGE SECURITY AGREEMENT AND FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT, WHICH IS INCORPORATED HEREIN BY REFERENCE AND MADE A PART OF THIS APPLICATION. I / WE HAVE RECEIVED A COPY OF THE SECURITY AGREEMENT AND DISCLOSURE STATEMENT. BOULEVARD HOME REVOLVING CHARGE SECURITY AGREEMENT I would like to apply for a revolving charge account with Boulevard Home. In connection with this application I agree and state as follows: 1. All of the information I have provided on this Agreement is true and accurate. I authorize Boulevard Home to make whatever inquiries are deemed necessary to determine the accuracy of the information. By my signature (including any digital or electronic signature) on the attached credit application, I agree to abide by all the terms and conditions of this security agreement. 2. By my signature I acknowledge that I have received a copy of the Federal Truth-In-Lending Disclosure Statement (on reverse side of this form) for the Boulevard Home Furnishings Revolving Charge Accounts ("Disclosure Statement"), and agree to pay all amounts I owe you according to the terms of the Disclosure Statement and this agreement. If for any reason the terms of this agreement change, I will provide you with such notice as is required by applicable law. 3. I will timely pay all amounts billed to me under the terms of the Disclosure Statement and any billing you send to me for credit extended under this Agreement, including all finance charges and other costs. Any purchase I make on credit as evidenced by sales slip, memorandum, invoice or similar document will be deemed to have been made under the terms and conditions of this Agreement. 4. You may require me to pay off my entire credit balance, plus accrued finance charges, all at once if I fail to make any payment on time, or if I breach any term of this agreement. 5. I agree that my liability for any purchases made under this agreement is joint and several, meaning that I am responsible for the entire balance of the account, whether incurred by myself, by any other applicant here under, or by any authorized user. 6. Application of payments and credits: To the extent that my monthly payment exceeds the total minimum payment, you will allocate the excess amount first to my regular revolving charge line, unless specified. Otherwise, you will allocate payments to the balance with the highest interest rate, in accordance with applicable law. 7. Transfers to regular revolving charge line: The unpaid balance of a special term will be transferred to my regular revolving charge line at the end of the special promotional period but before the minimum payment is calculated. You may, in accordance with applicable law, transfer the unpaid balance of a special term promotion to my regular revolving charge line if at any time I fail to pay the total minimum payment for my account within 60 days after the payment due date. Failure of payment will suspend all special promotional terms and the unpaid balances will be subject to all the terms of my regular revolving charge account. 8. Security Interest: To the extent permitted by applicable law, I hereby grant to The Boulevard a purchase money security interest under the Uniform Commercial Code in the merchandise purchased on my account until such merchandise is paid for in full. I agree to assist in executing any documents necessary to perfect your security interest. If I do not make the total Minimum Payment on my account by the payment due date, you may repossess any merchandise that has not been paid for in full. If the amount received on sale of the goods, including costs of repossession, storage, sale and other costs, is insufficient to pay all amounts I owe you, I agree to pay you the amount of any such deficiency. 9. I agree that, until the entire purchase price together with applicable charges shall have been fully paid for goods purchased under this Agreement, I will not remove the goods from my address set forth on the application, or sell the goods to a third party, without your prior written consent. 10. The decision to offer credit to me is entirely yours, and you may revoke any credit granted to me or decline to grant further credit to me for any reasons whatsoever, and at any time, to the extent not prohibited by law. 11. Definition of an Authorized User: Unlike a joint account holder, an authorized user doesn't have to go through a credit check to be added to the account. An authorized user has permission to purchase on the account but is not responsible for repaying the account balance. 12. In the event you are required to institute any legal action or to take other means to collect amounts I owe you, I agree to pay all of your costs of collection, including a reasonable attorney's fee. If I make payment on any purchase or billing by check, and the check is returned to you unpaid for any reason, I agree to pay you a minimum fee of $20.00 for each such check, or for each time a check is resubmitted for payment, together with your attorney’s fees and costs in collecting payment on the check. I agree that in the event you institute legal proceedings against me, such suit may be brought in Washington County and that Utah law will govern the interpretation or enforcement of this agreement. I hereby waive all objections to such jurisdiction and agree to submit thereto. Any judgment you obtain against me shall continue to bear interest at the annual percentage rate applicable to my account balance at the date of judgment.Security-Agreement Truth-In-Lending DisclosureApplicant's Consent* I agree to this statement.PhoneThis field is for validation purposes and should be left unchanged.