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Application

BUSINESS INFORMATION

BUSINESS INFORMATION

Financials

Business Core Information

By signing below, each of the above listed Business Applicant and Principal Owner (individually and collectively, “you”) authorize “DSM Funding Group” and each of its representatives, successors, assigns and designees that may be involved with or acquire purchases of future receivables including Merchant Cash Advance transactions (“Recipients”) to obtain consumer or personal and business reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and from other credit bureaus, banks, creditors and other third parties (1) to review the transaction you have applied for, including to authenticate your identity, verify information in your application, make underwriting decisions, and for related purposes, and (2) if your application results in your entering into any transaction with any of the Recipients, to service, monitor, collect and enforce the transaction. You also authorize“DSM Funding Group”, as agent for the Recipients, to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to DSM Funding Group, as agent on behalf of the Recipients, and to each of the Recipients, on its own behalf.

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