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  • Equal Credit Opportunity Act (“ECOA”) Notice:

    Note: if your application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain the statement, please contact our ECOA Compliance Representative at Intech Funding Corp. at the address noted herein within 60 days from the date you are notified of your denial. Within 30 days of receiving your request, we will send you a written statement specifying the reasons for the denial. The Federal ECOA prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning the creditor is the Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20006.

    The undersigned certifies they are applying for business purposes only and authorizes, and certifies that eachindividual named on this application authorizes, lntech Funding Corp. and its designee(s), a, gent(s), affiliate(s) , other lender(s) and funding partner(s), and successor(s) and assignee(s) (collectively, "lntech") to investigate allinformation contained herein and accompanying this application and to request and obtain commercial andconsumer credit reports on the business and each such individual for itself and any of the foregoing. Theundersigned authorizes and requests all Intech parties to release any information requested concerning personal orbusiness credit standing. This application in its entirety, including all authorizations and certifications, shall apply to any future request for financing to lntech, and such authorizations and certifications shall be deemed repeated atsuch time.

    For security purposes and to help the government fight terrorism & money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person, commercial entity who opens an account or obtains financing. For this reason, we will ask for your name, address, date of birth, Social Security, or other Tax Identification Number and other information that will allow us to identify you. We may also ask other questions or request other client due diligence documents meant to verify your individual or commercial identity.

    By signing below, you are authorizing your Bank as detailed under the "Bank Reference" section of this credit application to release requesting information to Intech Funding Corp. and its successors and/or assigns. All information requested is needed for the original processing of this credit request and/or updated information as requested during the tenor of credit request.