Business Loan and
Line of Credit Application

The undersigned, as identified above (individually, and as a representative of the Company “Applicant”) represents, acknowledges and agrees that all the information and documentation provided to Cambridge Capital Partners, LLC (“CCP”) is true, accurate and complete. Applicant consents to CCP obtaining a consumer credit report on individuals listed above for the purpose of evaluating creditworthiness in connection with this Application. We may use the credit report for any lawful purpose, including authentication, determining existing debt, and obtaining credit information from reporting agencies. You authorize us to verify information and agree that Cambridge Capital Partners, LLC may contact third parties to verify any such information. I authorize the complete release of records or data pertaining to me that any individual, company, firm, corporation, or public agency may have. I hereby authorize and request any financial institution or other persons having personal knowledge of me to furnish CCP or its designated agents with any and all information in their possession regarding me in connection with an application of credit. A photocopy, facsimile, or electronic signature of this authorization is accepted with the same authority as the original.