Credit Application Hollywood Casino Toledo

Applying for

*  Indicates field is required
Personal Information

Personal Information






ft in
lbs
cm
kg

Trip Information

Trip Information

$

Employment Information

Employment Information

$

New Jersey Gaming Declaration

Are you a gaming related casino employee, a state officer or employee, member of judiciary or legislature, or an officer of a municipality or county in New Jersey?


Financial Information

Financial Information
$
$
$
$
$
Primary Bank Information

Bank Account #1

Pre-paid debit cards, credit cards, and business accounts are not valid options.
 * Applicant must be the sole proprietor of this account
Secondary Bank Information

Bank Account #2

Pre-paid debit cards, credit cards, and business accounts are not valid options.
 * Applicant must be the sole proprietor of this account


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit

$
$
$


License Agreement

License

Before drawing on my line of credit, if granted, I agree to sign credit instruments (ie. checks) in the amount of the draw. I authorize Hollywood Casino Toledo, Ohio to complete any of the following missing items on these credit instruments: (1) the name of a payee; (2) any missing amounts; (3) a date; (4) the name, account number, and/or address and branch of any bank or financial institution; and (5) any electronic encoding of the above items. This information can be for any account from which I now have or may in the future have the right to withdraw funds, regardless of whether that account now exists, or whether I provided the information on the account.

I hereby authorize Hollywood Casino Toledo, Ohio to investigate my credit record and to furnish information concerning such credit records to credit reporting agencies and others who may properly receive this information. If this status changes, Hollywood Casino Toledo, Ohio must be notified.

I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize Hollywood Casino Toledo, Ohio to conduct such investigations pertaining to the information as it deems necessary for the approval of my credit limit. I am aware that this application is required to be prepared by the regulations of the OCCC and I may be subject to civil and criminal liability if any material information provided by me is willfully false. I acknowledge that Hollywood Casino Toledo, Ohio may apply any chips, slot cash tickets or jackpots presented by me to the redemption of any outstanding or returned markers.

I certify that I am 21 years of age or older.

I agree that this application and all credit issued pursuant thereto will be governed, construed and interpreted pursuant the laws of Ohio. I agree that Hollywood Casino Toledo, Ohio may litigate any dispute involving the credit line, the debt, or the payee in any court, state or federal, in Ohio. I submit to the jurisdiction of any court, state or federal, in Ohio.

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.

Privacy Policy

Click here to view the Privacy Policy for VisuaLimits, LLC

Signature

I, the undersigned, hereby authorize and instruct Hollywood Casino Toledo and its agent VisuaLimits, LLC ("VL") and its affiliates to obtain consumer reports, to contact financial institutions, and to check my consumer credit, employment, bank and gaming history in order to evaluate my credit application as well as to update and/or review my account to provide services requested by me, as necessary or as required by law. I authorize Hollywood Casino Toledo, VL or its affiliates to verify such information through any source and to report any information to another casino, excluding credit report data obtained from a credit agency, and to exchange any information with any of the affiliates of the Company. I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against VL or its affiliates relating to any credit investigation made pursuant to my authorization and instructions herein, including, without limitation, the collection, processing, and transmission of my information and data.

VisuaLimits, LLC ("VL") promotes responsible gambling. By entering my name in the signature field and clicking the "I Accept" button below, I acknowledge that I have read the VisuaLimits, LLC Responsible Gaming Policy.

By entering my name in the signature field and clicking the "I Accept" button below, I hereby represent, warrant, and agree that all information provided herein is true and correct, that I am the person for whom I am requesting credit, and that I have read, understand, and agree to be bound by all of the terms herein.

I hereby acknowledge and agree that this Application may be signed electronically and that such electronic signatures shall be deemed an original for all purposes. I represent and warrant that by signing this Application electronically or causing this Application to be signed electronically that I have the authority to do so and that such electronic signature shall be sufficient to bind the respective party under this Application.