The information supplied in this confidential financing application, company profile form, and all forms and documents submitted (collectively the Application) to Dade Strategic Syndication, its subsidiaries or its Assignee (collectively Factor) in connection herewith is true and correct to the best of my/our knowledge and belief. In compliance with the Fair Credit Reporting Act, I/ we authorize Dade Strategic Syndication, and/or its participating Factors to investigate my/our business and personal credit through its various agencies for the purpose of evaluation and verification. If this application is printed and faxed, hand signatures are required, but if this form is submitted securely, or typed name(s) in the fields provided serve as original signature(s).