Commercial Lease Application

The undersigned represents that all information provided with this Application is true and correct and hereby authorizes Impact Leasing Solutions, Inc. to verify and obtain from third parties, information it deems necessary to arrive at a decision regarding this Application. By signing below, the undersigned individual(s) as principal of and/or guarantor for the applicant; 1) authorizes Impact Leasing Solutions, Inc., its designee, assigns or potential assigns, to review his/her personal credit profile provided by a national credit bureau in considering this Application and for the purpose of update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts, and 2) authorizes all deposit, borrowing, financial and trade information to be released to Impact Leasing Solutions, Inc. by telephone, fax or email. A photocopy or fax of this authorization shall be valid as the original.