SIGNATURES
For the purpose of establishing and maintaining credit, I/We certify that the statements and information contained in this application and any supplemental sheets that are a part hereof are a complete and accurate statement of my financial condition and all above matters on the date stated. I/We agree to notify you immediately in writing of any materially unfavorable change in my/our financial condition, and in the absence of such notice, all matters herein may be considered as a continuing statement and substantially correct. I hereby authorize Genesis Equipment Leasing LLC and its assigns (collectively referred to as “GEL”) to make inquiries into, request, and receive from and disclose to other persons any information concerning my credit and employment history, general reputation, mode of living, customer accounts and credit experience, and to receive from and disclose to other persons all information from creditors or any persons including credit reporting agencies and any party who is a holder of an installment sale contract, lease or chattel paper (as defined in the Uniform Commercial Code) now or hereafter entered into between me/us and GEL. 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 my/our account information and credit experience related thereto, made by GEL or by other entity 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 which I may receive. I understand that GEL will be relying on the accuracy of the matters set forth herein as a basis for extending any credit which I may receive.