The undersigned certifies the above information to be true and correct. The undersigned hereby authorizes REV Capital ("Lender”) and/or any of its designated underwriters, or an authorized Agent, to obtain, or exchange personal information in whatever manner it may deem satisfactory, all the credit information it requires, whatever the source, such source(s) being hereby authorized to provide such information.

By signing below, Applicant consents and authorizes Lender and its agents, at any time to communicate with and disclose to third parties (including Credit Reporting Agencies, Credit Exchanges, Leasing Brokers and Credit Grantors) any of Applicant’s credit, financial and personal information that Lender deems necessary to complete, service or enforce this Application and any Ancillary Agreements, including additions, modifications, updates or other related transactions, including but not limited to the Factoring Facility. This clause survives the term or termination of this Application.

Applicant hereby authorizes Lender to conduct financial and credit investigations of Applicant for the purposes of approval, maintenance and enforcement of this Facility, or any judgment obtained by Lender as a result of any default hereunder, and to obtain any information required from any source to which it may apply, and each source is hereby authorized to provide such information to Lender. This includes, but is not limited to, Lender obtaining information from any credit reporting agency, creditor of Applicant, or banking and other financial institution where Applicant may have credit or depository facilities. Lender may obtain such information at any time before or during the Facility Term or after termination of the Facility in the event any monies remain owing to Lender.

In connection with the grant of the liens/and or security interest to be granted to REV Capital by the undersigned as described in connection with this application, the undersigned authorizes REV Capital to file one or more UCC-1 financing statements against the above signed in advance of the closing of the transactions contemplated in connection with this application.

The parties hereto agree that this Agreement and all documents related thereto be written in the English language. (Las partes conventionnent presencias que este documento sea escrito en Inglés (Les parties en présences conventionnent a ce que ce document soit rédigé en anglais

In connection with the grant of the liens/and or security interest to be granted to REV Capital by the undersigned as described in connection with this application, the undersigned authorizes REV Capital to file one or more UCC-1 financing statements against the above signed in advance of the closing of the transactions contemplated in connection with this application.

If you are an applicant or co-applicant you must each sign this credit application below:

In order to process your application, the following documents are needed:

• Copy of Driver's License(s)*
• Articles of Incorporation*
• Fictitious Business Name Registration (if applicable)
• Certificate of Insurance
• W9 Form*
• Void Check
• Customer List
• Detailed A/R Aging Report
• Detailed A/P Aging Report
• Sample Paper Trail:
  • Invoice
  • Purchase Order
  • Proof of Delivery of Service/Goods