COMPANY INFORMATION


FINANCING & EQUIPMENT INFORMATION


PRINCIPAL / OWNER INFORMATION


PERSONAL FINANCIAL INFORMATION


ADDITIONAL INFORMATION


For the purpose of procuring and maintaining credit, the undersigned submits the foregoing information as being a full, true and correct statement of financial condition on the date stated. I hereby grant our permission to obtain information from any credit grantor and any of the references provided herein to Zig Finance and/or its affiliates. I hereby authorize Zig Finance and any of it’s representatives or partners to collect, use and disclose my personal information for the purposes of investigating and providing financial services. I have been informed by Zig Finance or its partner s or representatives, that my personal information is collected, used and disclosed for the following purposes: (1) to collect credit and related financial information from me, from credit agencies, and from any parties listed herein, (2) to use the information collected to determine my financial situation, to provide financial services I have requested and to offer additional products and services of Zig Finance that may be of benefit to me, (3) to share the information with assignees, bankers or funding partners of Zig Finance, (4) to share the information collected and any information on my commercial dealings with Zig Finance with credit agencies or other financial institutions. Further, I specifically acknowledge that Zig Finance may assign this agreement and any related agreements in whole or in part from time to time and I agree that any personal information collected in relation to this agreement may be made available to any such proposed assignee.