The information I have provided on this form is correct. I authorize Carolina Rent to Own to confirm all the information I have provided. Carolina Rent to Own may contact any person or company I have listed above and I fully release all parties from all liability for any damage that may result. My (our) signature(s) and/or by clicking the send button and agreeing with these conditions, indicates that for the purposes of confirmation. I (we) have voluntarily waived the protection of all rights to privacy laws. This form is an application to rent and it may be rejected if I (we) fail to qualify or if any of the information is found to be false.