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I hereby represent that all the above information is true and understand that making false statements might be considered fraud. By providing the above information, the applicant(s) authorize you to whom this application is made or your agents to investigate my/our financial responsibility and credit worthiness, specifically principal and corporate entities, and will provide financial statements, tax returns, etc. as you deem necessary. A photocopy of this authorization will be deemed as acceptable for release of credit information. I/we authorize to receive pertinent information regarding the commercial lease for the above referenced location from my leasing company and or agent. I/we authorize you to update my/our credit profile from time to time in the future, as you deem appropriate.
June Month Bank Statement
July Month Bank Statement
Month To Date Bank Statement
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By clicking on Submit Application you also agree to authorize Samketi Capital Solutions to contact you at the telephone, email or direct mail contact data you have provided above for purposes of fulfilling this inquiry about business financing, even if you have previously registered on a Do Not Call registry or requested Samketi Capital Solutions to not send marketing information to you by email and/or direct mail. You agree we may use automatic telephone dialing systems and prerecorded voice messaging in connection with calls or texts made to any telephone number you provide even if the telephone number is assigned to a cellular/mobile telephone service or other services for which the called party is charged. You understand that you are not required to consent to receive autodialed calls/texts as a condition of purchasing any Samketi Capital Solutions products or services. If you do not wish to authorize Samketi Capital Solutions to contact you in this manner, you will need to call the number provided on this form to complete your request.
