Credit Release Authorization

Thank you for choosing Allegiant Partners as a resource for your equipment financing and leasing needs. Please have each business partner, with over 10% ownership in the business, complete the following Credit Release Authorization.

Full Legal Business Name *

DBA (if applicable)

First Name *

Last Name *

Company Title *

Ownership % *

Preferred method of contact? *

Social Security Number (no dashes) *

Date of Birth (MM/DD/YYYY * +

Mobile Phone *

Email *

Home Street Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

Acceptance

Which Allegiant Partners team member are you working with? *

Acceptance *

I (we) accept the following terms outlined below.

By checking the acceptance box, the individual(s) who is either a principal of the credit applicant listed above and/or a guarantor of its obligations, provides authorization to Allegiant Partners Incorporated its affiliates and its designees (and any nominee, assignee or potential assignee thereof) to obtain and review his/her personal consumer credit report from a consumer credit reporting agency. This authorization shall extend to obtaining a consumer credit report, and additional consumer credit reports, now and again in the future for the purpose of (i) credit evaluation, assessing financial condition and review, including updating, renewing and/or the extending of such credit and/or (ii) reviewing and / or collecting the resulting account, now and from time to time. This authorization applies to this application, any future applications, any requests by you and/or applicant for credit and any solicitations by us to offer you and/or applicant credit. I/we waive any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent. In addition to authorizing the review of my / our consumer credit report from any consumer credit reporting agency, the undersigned also authorizes my/our financial institutions and creditors to release credit information required by Allegiant Partners Incorporated and its designees (and any assignee or potential assignee thereof). By checking the acceptance box above, I / we affirm our identity as the respective individuals identified in the related application. The undersigned states that all of the statements and information in the application are true & complete.