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Application Form

Business Information:
Company Information:
Owner / Principal Information 1:
Owner / Principal Information 2:
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Renew Capital Group, LLC and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize Renew Capital Group, LLC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to Renew Capital Group, LLC and to each of the Recipients, on its own behalf. You also agree to receive future communications, including promotional material and updates, from Renew Capital Group, LLC at the contact details that you provided in this form. Renew Capital Group, LLC.

Signatures:

© Renew Capital Group, Inc. All rights reserved.

© Renew Capital Group, Inc. All rights reserved.

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