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Business Start Date
 
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D.O.B.
 
D.O.B.
 






++ Bank Statements *Required for both Merchant Cash Advance & Reverse Consolidation.
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++ MCA Contracts *Required for Reverse Consolidation only.
AUTHORIZATIONS I/We affirm My/Our identity as the representative individual(s) identified in the above application, and I/We declare that the individual(s), who is either a principal of the application or a personal guarantor of its obligations, provides instruction and authority to E&F Capital its Representatives, Designee as well as and in addition to any assignee thereof that may be involved with or acquire commercial funding having daily and weekly repayment features or purchase of future receivables including Merchant Cash Advance transactions authorizing obtaining and review of My/Our personal credit profile(s) from a national credit bureau. Such authorization shall extend to obtaining credit profile(s) in considering this application and subsequently for the purpose of update, renewal, or extension of such credit and for reviewing or collecting the resulting account. An electronic record of this authorization is in effect until canceled in writing by electronically signing below, or photostatic copy or facsimile copy of this authorization shall be valid as the original. By electing to check the box below, I/We with full knowledge and consent and I/We are legally bound to these terms and conditions. I/We agree and understand that by signing this Electronic Signature Acknowledgment, that all electronic signatures are the legal equivalent of My/Our manual/handwritten signature(s) and I/We consent to be legally bound to this agreement. I/We further agree My/Our signature(s) on this document are as valid as if I/We signed the document in writing. This is to be used in conjunction with the use of electronic signatures on all forms regarding any and all future documentation with a signature requirement, once I/We elect to have signed electronically. Under penalty of perjury, I/We herewith affirm that My/Our electronic signature(s), and all future electronic signatures, were signed by I/We with full knowledge and consent and I/We are legally bound to these terms and conditions. 
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Dated
 
Dated