EQUIPMENT INFORMATION

TRADE REFERENCE

BUSINESS PURPOSE - You, the credit applicant, certify to us that you are applying for credit for a business purpose, and not for personal, family, or household purposes,and that the information you provided is true and correct. PLEASE INCLUDE THE LAST 2 YEARS AND MOST RECENT COMPANY FINANCIALS WITH THE APPLICATION.

ECOA NOTICE - If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement,please contact Credit Disclosure Administrator, VFS LLC, within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided 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 this creditor is the Federal Trade Commission, Equal Credit Opportunity Washington, DC 20580.

Release and Authorization - To Whom It May Concern: I authorize and request you to release information concerning my personal or business credit standing for this Credit Application, any renewals or future extensions of credit, and for review or collection of any resulting account to VFS LLC or any of its affiliates, assignees and potential funding partners. Further, I authorize VFS LLC to share any information contained within such reports with its affiliates, assignees and/or potential funding partners.

All Owners/Partners must sign this Application