By signing and submitting this Business Financing Pre-Qualification Form ("Application") to Capitable Group ("CG"), the undersigned certifies to CG that (i)
I am authorized to apply for business financing on behalf of the entity identified above in the Company Information section, (ii) the information provided within this
Application is true and accurate, and (iii) I will promptly notify CG of any material changes to such information. This application must be accompanied by additional supporting
documents and information as directed by any prospective Lender or Partner (each, a "Lender") in order to be considered for approval. The undersigned authorizes CG to submit
this Application and any other supporting documents and information to each Lender. By submitting this Application, the undersigned authorizes CG and each Lender, and its
respective agents, assignees and/or third-party providers to make all inquiries deemed necessary to verify the accuracy of the information provided in this Application
(including requesting business and personal credit bureau reports from credit reporting agencies and other sources). Each of the undersigned agrees and understands that
CG will retain this Application and all supporting documents and information whether or not this Application is approved.