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I further authorize SBA to order a consumer credit report and verify other credit information including past and present mortgage and landlord references as needed in connection with the above SBA loan. It is acknowledged that an executed copy of this form will also serve as proper authorization and consent. U.S. SMALL BUSINESS ADMINISTRATION 200 W. Santa Ana Blvd. Suite 180 Santa Ana CA 92701 BORROWER S CONSENT TO VERIFY INFORMATION AND 3RD PARTY AUTHORIZATION SBA LOAN NUMBER I hereby authorize the United States Small Business Administration SBA to verify my past and present employment earnings and records bank accounts stock holdings and any other asset balances that are needed by SBA in reference to the above stated SBA loan number. The information obtained by SBA is to be used only in reference to the SBA loan number herein stated* Additionally the US Small Business Administration is hereby authorized to release any and all information about my Loan to the third party s indicated below. I We understand that information released by US Small Business Administration may include but may not be limited to information relating to my loan amount and payment transactions history and/or the provision of copies of my loan documents which may contain non-public information relating to all obligors and/or guarantors if applicable. I We acknowledge that should I We wish to terminate this authorization I We must contact the US Small Business Administration at 855-778-3154 and submit the request in writing to 200 W* Santa Ana Blvd. Suite 180 Santa Ana California 92701. Name of Authorized Third Party s Expiration Date of Third Party s Authorization Note If you do not want to authorize the release of information to a Third party s please indicate by writing NONE in the space provided* Doing so does not prevent SBA from obtaining background and/or credit information needed* Borrower Name Print Name Signature Date Page 1 of 1. The information obtained by SBA is to be used only in reference to the SBA loan number herein stated* Additionally the US Small Business Administration is hereby authorized to release any and all information about my Loan to the third party s indicated below. I We understand that information released by US Small Business Administration may include but may not be limited to information relating to my loan amount and payment transactions history and/or the provision of copies of my loan documents which may contain non-public information relating to all obligors and/or guarantors if applicable. I We understand that information released by US Small Business Administration may include but may not be limited to information relating to my loan amount and payment transactions history and/or the provision of copies of my loan documents which may contain non-public information relating to all obligors and/or guarantors if applicable. I We acknowledge that should I We wish to terminate this authorization I We must contact the US Small Business Administration at 855-778-3154 and submit the request in writing to 200 W* Santa Ana Blvd.

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