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Parx Casino Credit PDF Details

You will discover information about the type of form you want to prepare in the table. It can tell you how much time you'll need to complete parx casino credit, what parts you will have to fill in and some further specific facts.

Question	Answer
Form Name	Parx Casino Credit
Form Length	2 pages
Fillable?	Yes
Fillable fields	49
Avg. time to fill out	10 min 22 sec
Other names	parx credit search, parx credit sample, credit parx account online, parx application form

12

Form Preview Example

application for credit

casino credit is a credit line payable through a checking account. you will be issued a countercheck in exchange for chips or cash equivalent. the time period to remit payment for each countercheck is determined by it’s denomination. you will be required to return any unused countercheck balance prior to your departure from the casino. counterchecks may be paid directly or may be withdrawn from your checking account.

the maximum time period for counterchecks to be held before deposit is as follows: $1 up to $4,999 - 15 calendar days after the date of the countercheck

$5,000 or more - 30 calendar days after the date of the countercheck

please complete the form below, fax completed form to 215-245-4571, mail to: parx casino; attention credit department; p.o. box 1000, bensalem, pa 19020 or stop by the credit ofﬁce located on the casino ﬂoor. you will be notiﬁed by a credit department executive as to the status of your request after it has been processed. you’ll need to stop in to the credit ofﬁce on the casino ﬂoor to activate your line of credit. if you have any further questions, please contact a credit executive at 1-888-372-3110.

account information

Xclub account number _________________________				$ limit requested_____________			arrival date ______________

personal data
ﬁrst name ______________________________		mi ______			last name ________________________________________
residential address _______________________________				city ____________________________________________________
state ______	postal / zip code _____________		phone number______________________________________________
date of birth (yyyy-mm-dd) ________________________				social security number (no dashes) ______________________
years at residence ________________________________				mail to _________________________________________________

employment
position __________________________________________				type of business:		❑ sole proprietorship ❑ retired
business phone number ___________________________				business address		_______________________________________
city ____________________________________		state ______			postal / zip code ________________________________
years at _____	income _____________________		source income _______________				total assets _____________
total personal debt _______________________________

bank 1 information
branch * _________________________________________				address ________________________________________________
city _____________________________ state __________________________						postal / zip code ______________________
phone number __________________ type of account _________________						aba number __________________________

account number ____________________________________________________________________________________________

bank 2 information

branch * _________________________________________ address ________________________________________________

city _____________________________ state __________________________	postal / zip code ______________________
phone number __________________ type of account _________________	aba number __________________________

account number ____________________________________________________________________________________________

disclosures

i certify that i have read and understand this application and its terms and i execute this document voluntarily and with full knowledge of its signiﬁcance. i authorize parx casino to conduct any investigations necessary for the approval of my credit limit. i am aware that this application is required by the regulations of the pennsylvania gaming control board. i understand that a countercheck issued by parx casino is identical to a personal check and may be deposited in or presented for payment to my bank or other ﬁnancial institution. i acknowledge that willfully drawing or passing a credit instrument with the intent to defraud, including knowing there are insufﬁcient funds in my account is a crime in the commonwealth of pennsylvania that may result in criminal prosecution. i am also aware that providing false or misleading statements or omitting information on this application may subject me to civil or criminal penalties.

i certify that i am 21 years of age or older. i agree that parx casino may collect from me any reasonable costs or attorney fees incurred in connection with its efforts to collect any debt owed by me to parx casino. i agree that parx casino, in its sole discretion, may apply any and all gaming chips, jackpots or tokens, which i rightfully possess to reduce any debt owed by me to parx casino. i agree that parx casino may contact me at my home, my place of work or other location where i spend a signiﬁcant portion

of each day. i agree that parx casino may furnish information contained in this credit application to credit reporting agencies, collection agencies, collection attorneys and others who may legally receive this information and take additional steps consistent with the laws of pennsylvania and the united states in connection with the investigation and veriﬁcation of my ﬁnancial resources and responsibility as well as the collection of any debt owed by me to parx casino. i agree that this application and all credit issued pursuant thereto will be governed, construed and interpreted pursuant to the laws of the commonwealth of pennsylvania. i agree that parx casino may litigate any dispute involving the credit line, the debt, or the payee in any state or federal court

in pennsylvania. i submit to the jurisdiction of any state or federal court in pennsylvania. i further represent that i have not been excluded from any gaming operation, nor have any of my privileges at any gaming operations been restricted, either voluntarily or by action of law.

would you like to be contacted by telephone as to the status of your request?

❑yes ❑ no

phone number: __________________________________________________________

please verify that you have read and agree to the above disclosures by signing below:

__________________________________________________________________________

gambling problem? call 1-800-gambler.

How to Edit Parx Casino Credit Online for Free

The PDF editor was developed to be so simple as possible. If you comply with the following actions, the process of filling in the parx application credit sample file will be simple and easy.

Step 1: On the following web page, select the orange "Get form now" button.

Step 2: So, you can start editing your parx application credit sample. The multifunctional toolbar is readily available - add, remove, transform, highlight, and carry out similar commands with the content in the document.

For each part, fill out the information demanded by the platform.

step 1 to writing parx credit sample

Put the appropriate data in the bank, information branch, address city, state, postal, zip, code phone, number, type, of, account, aba, number account, number bank, information branch, address city, state, postal, zip, code phone, number, type, of, account, aba, number and account, number segment.

parx credit sample bankinformation, branchaddress, city, statepostalzipcode, phonenumbertypeofaccountabanumber, accountnumber, bankinformation, branchaddress, city, statepostalzipcode, phonenumbertypeofaccountabanumber, and accountnumber fields to insert

Inside the area discussing yes, no phone, number and gambling, problem, call, gambler you should note some demanded information.

Filling in parx credit sample step 3

Step 3: As soon as you click the Done button, your finalized document can be transferred to each of your devices or to electronic mail given by you.

Step 4: Come up with as much as several copies of the file to stay away from different possible issues.

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