CERTIFICATION, CREDIT RELEASE AUTHORIZATION, UCC FINANCING STATEMENT APPROVAL, CREDIT HISTORY AND COMMUNICATION

I hereby certify that the information contained in this credit application is true and accurate and I hereby authorize our banks and financial institutions to release credit information to KLC Financial, Inc. In states where permissible, I hereby authorize the filing and recording of UCC financing statements showing KLC Financial, Inc.’s interest in all the business assets and grant KLC Financial, Inc. the right to execute them in our company name. I hereby authorize KLC Financial, Inc. and its affiliates, successors and/or designees (and any assignee or potential assignee thereof) and any lending source to whom this application is submitted to obtain consumer credit reports relating to individual credit history and/or creditworthiness. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. By signature below, I/we affirm my/our identity as the respective individual(s) identified in this application. I hereby consent to the receipt of promotional, advertising and other marketing materials from KLC Financial, Inc. (“KLC”) or its agents via email, facsimile, telephone or text message. I understand that my information will not be sold or shared by KLC with any unrelated third party and that I may unsubscribe or opt-out of any such further communications from KLC at any time by following the instructions in the communication (if applicable) or by contacting KLC at info@klcfinancial.com or by 952-224-4300 Monday-Friday between the hours of 8am-5pm CST. A photocopy, facsimile, or copy of this Equipment Credit Application transmitted by email and/or other electronic means shall be valid as the original.

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 is the Federal Trade Commission Equal Credit Opportunity, Washington, D.C. 20580. 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 KLC Financial, Inc., 3514 County Road 101, Minnetonka, MN 55345, info@klcfinancial.com, (952) 224-4300 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 for receiving your request for the statement.

Notice: To help the government fight the funding of terrorism and money laundering activities, U.S. Federal law requires financial institutions to obtain, verify and record information that identifies each person (individuals or businesses) who opens an account. What this means for you: When you open an account or add any additional service, we will ask you for your name, address and taxpayer identification number that will allow us to identify you. We may also ask to see other identifying documents.