The Company and the undersigned principal owner of the Company identified above (“Applicant”) represents, acknowledges, and agrees that

(1) all information and documents provided to __________ (“Provider”) are true, accurate, and complete,

(2) Applicant will immediately notify Provider of any change in Applicant's financial condition,

(3) Provider is authorized to submit this Application and all supporting documents provided by Applicant to its’ affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of considering commercial financing offers to Applicant (collectively "Recipients"),

(4) such Recipients are authorized to request and receive any investigative reports, consumer credit reports, statements from creditors or financial institutions, verifications of information, or any other information that Recipients deem necessary in considering this Application,

(5) the undersigned represents that they are authorized to sign this form on behalf of the Company, and

(6) THE COMPANY AND PRINCIPAL CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM PROVIDER AND RECIPIENTS BASED UPON THE CONTACT INFORMATION OF APPLICANT PROVIDED IN THIS APPLICATION.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.