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BORROWER PAYMENT CERTIFICATE By signing below I/we the Borrower s 1. I/we acknowledge receipt of the GreenSky Installment Loan Agreement Agreement with the Lender specified on the Agreement and agree to be legally bound by the TERMS AND CONDITIONS of the Agreement. 2. I/we instruct the Lender to disburse to Contractor the proceeds of this Agreement in the Amount specified below. If the date below is later than any final purchase dates previously documented we agree that we remain legally bound to the repayment and understand that such disbursements are subject to all TERMS AND CONDITIONS of the Agreement. Borrower printed Date Payment Method 1 Amount Borrower s Account Expiration Date Security Code Date to run the Payment Date to run final Payment initial initial Borrower whose signature appears above and will adhere to the payment authorizations above. Contractor printed Contractor Authorized Signer printed To Be Signed Upon Completion Of The Project I confirm that there has been satisfactory delivery of all equipment goods and/or services by the Contractor and if any installation was included in the contract there has been satisfactory completion of such installation* Contractor has delivered all equipment goods and/or services and completed any installation included in the Contractor s contract with the Borrower s to the satisfaction of the Borrower s. 2. I/we instruct the Lender to disburse to Contractor the proceeds of this Agreement in the Amount specified below. If the date below is later than any final purchase dates previously documented we agree that we remain legally bound to the repayment and understand that such disbursements are subject to all TERMS AND CONDITIONS of the Agreement. If the date below is later than any final purchase dates previously documented we agree that we remain legally bound to the repayment and understand that such disbursements are subject to all TERMS AND CONDITIONS of the Agreement. Borrower printed Date Payment Method 1 Amount Borrower s Account Expiration Date Security Code Date to run the Payment Date to run final Payment initial initial Borrower whose signature appears above and will adhere to the payment authorizations above. Borrower printed Date Payment Method 1 Amount Borrower s Account Expiration Date Security Code Date to run the Payment Date to run final Payment initial initial Borrower whose signature appears above and will adhere to the payment authorizations above. Contractor printed Contractor Authorized Signer printed To Be Signed Upon Completion Of The Project I confirm that there has been satisfactory delivery of all equipment goods and/or services by the Contractor and if any installation was included in the contract there has been satisfactory completion of such installation* Contractor has delivered all equipment goods and/or services and completed any installation included in the Contractor s contract with the Borrower s to the satisfaction of the Borrower s. 2. I/we instruct the Lender to disburse to Contractor the proceeds of this Agreement in the Amount specified below. If the date below is later than any final purchase dates previously documented we agree that we remain legally bound to the repayment and understand that such disbursements are subject to all TERMS AND CONDITIONS of the Agreement. Borrower printed Date Payment Method 1 Amount Borrower s Account Expiration Date Security Code Date to run the Payment Date to run final Payment initial initial Borrower whose signature appears above and will adhere to the payment authorizations above. .