Finance Application

Declaration/Release By signing and submitting this Application, the owner, officer or guarantor listed above agrees, individually and as the duly authorized representative of the business-applicant (i) that all information provided in this Application is true, correct and complete, (ii) that the property leased or any credit extended by Regions Bank, an Alabama banking corporation d/b/a Ascentium Capital (“Ascentium”) will be used solely for business and commercial purposes and (iii) that Ascentium and its affiliates are authorized to email information about financing, promotions, and other offers to the email address listed above. The business-applicant and each owner, officer or guarantor listed above further authorize Ascentium, its affiliates and their respective successors, assigns or one or more alternate third-party funding providers to whom Ascentium may disclose this application or the information contained herein or permitted to be obtained pursuant hereto to investigate its organizational and personal credit histories, including, but not limited to, obtaining a credit report from a credit reporting agency, from time to time and for any lawful purposes. Upon the request of an individual owner, officer or guarantor, Ascentium will advise the individual if Ascentium obtained a credit report and Ascentium will give the individual the credit bureau’s name and address. The business-applicant and each owner, officer or guarantor listed above direct any creditor or financial institution having any information relating to the business or individual to release such information to Ascentium in connection with this Application. California consumers: Please see the Notice at Collection contained in our California Privacy Statement, which is available at https://ascentiumcapital.com/privacy-security/california-privacy-statement#personal for a description of the personal information Ascentium and its affiliates collects and how Ascentium and its affiliates may use and disclose information we collect. By signing this Application, the business-applicant and each owner, officer or guarantor listed above direct Ascentium and its affiliates to disclose or otherwise transmit any and all information and documents that Ascentium and its affiliates may obtain, including, without limitation, business or personal credit reports, this Application and (if applicable) any “personal information” as defined in the California Consumer Privacy Act, to other persons that are involved in or participate with Ascentium or its affiliates in providing commercial funding and the services related thereto (including, but not limited to alternate third-party funding providers, Ascentium’s or its affiliate’s funding sources, and third-party service providers), for the purposes of facilitating funding for the business-applicant, the on-going facilitation of any funded transaction and for any other purposes set forth in our California Privacy Statement which can be found at https://ascentiumcapital.com/privacy-security/california-privacy-statement