MotorCity Casino Hotel - Credit Application

Credit Application MotorCity Casino Hotel

Informational Questions

Please answer the following questions before completing and submitting the application

When was the last time you visited a casino? *

How many times do you visit casinos per year? *

Do you play slots or tables? *

Are you past due on any of your accounts? *

Is your bank account negative? *

Do you understand this is not a loan or credit card, and that the balance is due in full at the end of your trip? *

Do you understand that by applying, we will pull a credit report? *

Have you visited our casino before? *

Do you have a player’s club card with our casino? *

Do you understand that this is an on-demand account that will be linked to your checking account for payment? *

Do you understand that the funds being requested must be available in the account referenced on the application? *

Do you understand that approval may take up to 72 hours? *

Do you understand that funds advanced are to be used only for gaming purposes during this trip? *

* Indicates field is required

Personal Information

First Name *

Middle Name

Last Name *

Suffix

AKA

Gender *

Are you applying for someone else? *

First and Last Name *

Country * (US applicants only)

Address *

Years at Address *

Main Phone *

Other Phone

Email Address *

Preferred Contact Method *

Send Mail to *

Country

Address *

Statements Sent To *

Social Security # Social Insurance # (SIN) International ID

Date of Birth *

Country of Birth *

Mother's Maiden Name *

Spouse's Name

Driver's License # * **

Expiration * **

Passport #

Country

Expiration

Height * ft in

Weight * lbs

Height * cm

Weight * kg

Hair Color *

Eye Color *

Do you wear glasses? *

** You must provide a Passport or Driver's License

** International Applicants must provide a Passport or International ID

Trip Information

Referred by (if not referred, enter N/A) *

Player # (if applicable) *

Reservation # *

Credit Requested *

Employment Information

Employer / Name of Firm Name of Your Business Previous Employer *

Type of Business *

Number of Years *

Position *

Annual Income *

Business Phone *

Fax *

Country *

Business Address *

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

Insider of Public Company *

Politically Exposed Person/Relative or Associate *

See PEP definition

Domestic PEP

A domestic PEP is a person who holds — or has held within the last 5 years — a specific office or position in or on behalf of the Canadian federal government, a Canadian provincial government, or a Canadian municipal government, for example:

Governor General, lieutenant governor or head of government;
member of the Senate or House of Commons or member of a legislature;
deputy minister or equivalent rank;
ambassador, or attaché or counsellor of an ambassador;
military officer with a rank of general or above;
pesident of a corporation that is wholly owned directly by Her Majesty in right of Canada or a province;
head of a government agency;
judge of an appellate court in a province, the Federal Court of Appeal or the Supreme Court of Canada;
leader or president of a political party represented in a legislature; or
ayor, reeve or other similar chief officer of a local government (municipal governments include cities, towns, villages and rural (county) or metropolitan municipalities).

Foreign PEP

A foreign PEP is a person who holds or has held one of the following offices or positions in or on behalf of a foreign state:

head of state or head of government;
member of the executive council of government or member of a legislature;
deputy minister or equivalent rank;
ambassador, or attaché or counsellor of an ambassador;
military officer with a rank of general or above;
president of a state-owned company or a state-owned bank;
head of a government agency;
judge of a supreme court, constitutional court or other court of last resort; or
leader or president of a political party represented in a legislature.

HIO

The head of an international organization is a person who is either:

the head of an international organization established by the governments of states; or
the head of an institution established by an international organization.
an international sports organization.

When we refer to the head of an international organization or the head of an institution established by an international organization, we are referring to the primary person who leads that organization, for example a Managing Director, Director-General, President, CEO etc.

Marijuana Related Source of Income *

Source of Income *

Investments Held With *

Pension Employer *

Savings Location *

Name of Spouse *

Other Source of Income *

Total Assets *

Source of Wealth *

Estimated Annual Compensation *

Estimated Total Annual Income *

Estimated Tax Bracket *

Estimated Liquid Net Worth *

Estimated Total Net Worth *

Total Amount of Indebtedness *

Source of Debt *

Mortgage/Loan Amount *

Credit Card Amount *

Other Amount *

Form of Funds *

Source of Funds *

* I understand that the casino may request documentation verifying the source of my funds. I agree to provide such documentation if requested and certify that all information provided in this application is true and accurate.

Account #1

Pre-paid debit and credit cards are not valid options.

Branch Country

Financial Institution Type *

Bank Name Credit Union Name *

Bank Routing Number Credit Union Routing Number *

Brokerage Firm *

Account Number Checking Account Number *

Brokerage ID Member ID

Account Type *

* Applicant must be the sole proprietor of this account

Association with Business *

Is this a Private Client Account? *

Is Account a Trust? *

Branch Address *

Bank Officer *

Officer Position *

Phone *

Account #2

Pre-paid debit and credit cards are not valid options.

Branch Country

Financial Institution Type

Bank Name Credit Union Name

Bank Routing Number Credit Union Routing Number

Brokerage Firm *

Account Number Checking Account Number

Brokerage ID Member ID

Account Type

* Applicant must be the sole proprietor of this account

Association with Business

Is this a Private Client Account?

Is Account a Trust? *

Branch Address

Bank Officer *

Officer Position *

Phone *

Instant Bank Account Verification –
Speeds up approval!

If you want to speed up the approval process, click the Instant Verification button to complete the requested information and we will receive a read-only verification of your bank account status.

This is safe, secure, encrypted, and fast
You will need: bank login and bank account information
No bank login information is retained by the casino

The Instant Bank Verification can be run on Personal Accounts from US and Canadian Banks only. Business Accounts are not available through the Instant Bank Verification service at this time.

Click on the accounts you would like to verify then click Proceed

Bank Name:
Routing Number:
Account Number:

Bank Name:
Routing Number:
Account Number:

The errors listed above need to be fixed before submitting Instant Bank Verifications for the selected accounts. Please return to the application and fix the errors

The following errors need to be fixed before submitting an Instant Bank Verification.

Please return to the application and fix the errors

Do you wish to be notified prior to deposit?

Gaming Information Other Casino Credit

Do you have Credit at other casinos? *

Please provide at least one casino where you have credit
If you do not see the casino listed, select 'Other' and enter the casino name in the space provided

Casino *

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Casino

Country

Limit

Do you have credit at a Caesars Entertainment property utilized within 18 months?

Sign Here

Signature

Date

License Agreement

I authorize Detroit Entertainment, L.L.C. d/b/a MotorCity Casino Hotel to request consumer reports regarding my gaming activity and credit history, information regarding my bank accounts, and similar information in order to evaluate my creditworthiness, and to furnish information of that nature and of the nature contained in such reports, whether obtained from third parties or from MotorCity Casino Hotel’s records, to credit reporting agencies and others who may properly receive such information. MotorCity Casino Hotel may also use the information obtained to aid in the collection of outstanding accounts owed to MotorCity Casino Hotel. I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize MotorCity Casino Hotel to conduct such investigations pertaining to the above information as it deems necessary for the approval of my credit limit. I am aware that this application is required pursuant to the provisions of the Michigan Gaming Control Board and Revenue Act and the rules promulgated pursuant thereto and I may be subject to civil and criminal liability if information provided by me is willfully false. I acknowledge that any credit issued to me by MotorCity Casino Hotel is being issued under the laws of Michigan, for disbursement in Michigan, and for use only in MotorCity Casino Hotel’s casino. I hereby authorize MotorCity Casino Hotel in its sole discretion to apply any and all gaming chips I may redeem first to the reduction of any outstanding credit balance, with the remainder, if any, to be returned to me.

In the event of any conflict between the provision above and the provisions below under the section entitled "Signature," the provision above shall control.

Privacy Policy

Click here to view the Privacy Policy for MotorCity Casino Hotel.

Click here to view the Privacy Policy for NRT Technologies, Inc. and VisuaLimits, LLC

* I acknowledge that I have read and accept the above privacy policies

Signature

I, the undersigned, hereby authorize and instruct MotorCity Casino Hotel and its agent NRT Technologies, Inc. and VisuaLimits, LLC ("NRT") 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 MotorCity Casino Hotel, NRT 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 NRT. I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against NRT or its affiliates or MotorCity Casino Hotel relating to any investigation made pursuant to my authorization and instructions herein, including, without limitation, the collection, processing, and transmission of my information and data.

NRT Technologies, Inc. and VisuaLimits, LLC ("NRT") 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 NRT Technologies, Inc. and 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.

Physical Signature

Sign Here

Signature

Date

Credit Application MotorCity Casino Hotel

Informational Questions

Personal Information

Trip Information

Employment Information

Financial Information

Domestic PEP

Foreign PEP

HIO

Account #1

Account #2

Instant Bank Account Verification –
Speeds up approval!

Select an Account

You are currently verifying :

Gaming Information Other Casino Credit

License Agreement

Privacy Policy

Signature

Physical Signature

Credit Application MotorCity Casino Hotel

Informational Questions

Personal Information

Trip Information

Employment Information

Financial Information

Domestic PEP

Foreign PEP

HIO

Account #1

Account #2

Instant Bank Account Verification – Speeds up approval!

Select an Account

You are currently verifying :

Click on the accounts you would like to verify then click Proceed

You are currently verifying :

Please complete all steps of the verification process.

When finished click the Finish button below.

Gaming Information Other Casino Credit

License Agreement

Privacy Policy

Signature

Physical Signature

Instant Bank Account Verification –
Speeds up approval!