Working Capital Application

I/We hereby apply for the credit described in this application on behalf of the applicant business. I/We certify that I/we made no misrepresentation in this application or in any related documents, that all information is true and complete, and that I/we did not omit any important information. I/We agree that any property securing the credit will not be used for any illegal purpose. Gulf Coast Business Credit (“GCBC”) is authorized to verify with other parties and to make any investigation of my/our credit, either directly or through any agency employed by GCBC for that purpose. GCBC may disclose to any other interested parties information as to GCBC’s experience or transactions with my/our account. I/We understand that GCBC will retain this application and any other credit information GCBC receives, even if no credit is granted. These representations and authorizations extend not only to GCBC, but also to any insurer of the credit and to any investor to whom GCBC may sell all or part of the credit. I/We further authorize GCBC to provide any such insurer or investor any information and documentation that they may request with respect to my/our application or credit.