Statement of Financial Responsibility
Student Name:   Social Security Number:
I, , am financially responsible for all charges incurred while I am in attendance at Kentucky Wesleyan College. I understand that all charges for any term must be satisfied before the beginning of the next term. I further understand the finance charges will accrue on all unpaid charges and will be computed by a ‘percent rate’ of one percent (1%) per month, which is an ANNUAL PERCENTAGE RATE of twelve percent (12%) applied to the prior balance after deducting current payments and/or credits to the account. I agree to pay all costs related to collection of unpaid balances, including legal fees, collection fees and interest. I further allow the below-signed individual complete, unabridged access to my financial records. I understand that I may revoke the financial records access by making written request to the Cashier’s Office.
I understand that my esignature constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
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Document Name: Statement of Financial Responsibility
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