By checking this box below, the applicant(s) represent that all information
provided with respect to this Application is true and correct. Each principal
or personal guarantor listed provides TriQuest Capital (or their assignee
or potential assignee) written authorization to obtain from third parties
personal credit reports and profiles for the purpose of extending, renewing
or updating credit to the applicant(s). The Applicant authorizes their
borrowing, banking, depository and trade information to be released to
TriQuest Capital by phone or fax. A facsimile, photocopy, or electronically
submitted copy shall be as valid as the original subject to the current
law.