For the purpose of establishing and maintaining credit, I, the undersigned, submit the foregoing statement and information contained in this sheet, both written and printed and including supplemental sheets, if any, as being a full, true, and correct statement of my financial condition and all above matters on the date stated. I agree to notify you immediately in writing of any materially unfavorable change in my financial condition of the above matters. In the absence of such notice, all matters herein may be considered as a continuing statement and substantially correct. I authorize Genesis Equipment Leasing, LLC, its parent company, subsidiaries, and/or assigns (collectively referred to as "GEL") to make inquiries into, request, receive from, and disclose to others information concerning my character, general reputation, accounts, and credit history or experience, and to disclose such information to others, including credit reporting agencies. This authorization shall be effective from the date upon which this application is signed and shall be continuing authorization for all present and future disclosures of account information and credit experience made by GEL, or any person requested to release such information to GEL. I understand that GEL will be relying on the accuracy of the matters set forth herein as a basis for extending any credit that I may receive.

For the purpose of establishing and maintaining credit, I, the undersigned, acting as authorized representative of the Company above, submit the foregoing statement and information contained herein as a full, true, and correct statement of the financial condition of Company and all above matters on the date stated. I agree to notify you immediately in writing of any materially unfavorable change in Company's financial condition of the above matters. In the absence of such notice, all matters herein may be considered as a continuing statement and substantially correct. I authorize Genesis Equipment Leasing, LLC, its parent company, subsidiaries, and/or assigns (collectively referred to as "GEL") to make inquiries into, request, receive from, and disclose to others information concerning the general reputation, accounts, and credit history or experience of Company, and to disclose such information to others, including credit reporting agencies. This authorization shall be effective from the date upon which this application is signed and shall be continuing authorization for all present and future disclosures of account information and credit experience made by GEL, or any person requested to release such information to GEL. I understand that GEL will be relying on the accuracy of the matters set forth herein as a basis for extending any credit that Company may receive.