I certify that I have reviewed all information provided above and state under penalties of perjury this is true and accurate. I certify that I am at least 21 years of age. I authorize Majestic Star Casino, LLC or its agent to conduct such investigations pertaining to the above information as it deems necessary for the approval of my credit limit. In consideration of receiving credit privileges hereunder, I (1) acknowledge that my debt(s) is incurred in the State of Indiana. (2) agree to submit to the jurisdiction of any court of competent jurisdiction in Indiana, State or Federal to enforce this obligation. (3) agree that in the event this extension of credit needs to be placed with an attorney or agency, I will pay all costs of collection, including but not limited to, attorney’s fees, interest at 18% APR or the maximum amount permitted under Indiana law, court costs, filing fees and any bank fees incurred through appeal. A photo copy of this authorization will be considered as effective and valid as the original. In addition, I authorize Majestic Star Casino, LLC in its sole discretion to apply any and all chips, cash, or slot tickets I may redeem first to the reduction of any outstanding credit balance, with the remainder, if any, to be returned to me.
As a condition to being granted marker signing privileges, I agree to sign credit instruments, aka markers or checks (hereinafter "markers") in the amount of the funds (e.g. chips, cash, tokens, etc.) issued to me. Further, I authorize Majestic Star Casino, LLC to complete any of the following information on those markers: (1) name of payee, (2) a date, (3) name, account number, and/or address of any of my banks and financial institutions, (4) electronic encoding of the above and (5) as otherwise authorized by law. The information inserted may be for any account from which I now or may in the future have the right to withdraw funds, regardless of whether that account now exists, and whether I provided the information on the account to Majestic Star Casino, LLC. I agree that each marker I sign is a separate transaction. I REPRESENT THAT AT THE TIME I SIGN ANY MARKER, I HAVE ON DEPOSIT IN ACCOUNTS ON WHICH I AM AN AUTHORIZED SIGNATORY FOR ALL PURPOSES, WITHOUT RESTRICTION, FUNDS SUFFICIENT TO PAY SUCH MARKER UPON DEMAND OR PRESENTMENT.
I understand that this application is required to be prepared in compliance with Indiana Gaming Commission regulations and I may be subject to civil or criminal liability if any material provided by me is willfully false.