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Terms of Service | Terms Of Service

The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each
represents, acknowledges and agrees that (1) all information and documents provided to
Representative including business bank and/or credit card processor statements are true, accurate and complete, (2)
Applicant will immediately notify Representative of any change in such information or financial
condition, (3) Applicant authorizes Representative to disclose all information and documents that
Representative may obtain including credit reports to other persons or entities (collectively,
“Assignees”) that may be involved with or acquire commercial loans having daily repayment features
or purchases of future receivables including Merchant Cash Advance transactions, including without
limitation the application therefor (collectively, “Transactions”), and each Assignee is authorized
to use such information and documents, and share such information and documents with other
Assignees, in connection with potential Transactions, (4) Representative and each Assignee will
rely upon the accuracy and completeness of such information and documents, (5) Representative,
Assignees, and each of their representatives, successors, assigns and designees (collectively,
“Recipients”) are authorized to request and receive any investigative reports, credit reports,
statements from creditors or financial institutions, verification of information, or any other
information that a Recipient deems necessary, (6) Applicant waives and releases any claims against
Recipients and any information‐providers arising from any act or omission relating to the
requesting, receiving or release of information, and (7) each Owner/Officer represents that he or
she is authorized to submit this form on behalf of Merchant. A copy of this authorization may be
accepted as an original. A copy of this authorization may be accepted as an original. The term
“Representative” shall mean any funding source looking to offer, make available, or provide to the
Merchant access to loans or merchant cash advances based on such Merchant’s future receivables or
sales and/or structured with a periodic repayment feature. By clicking submit you agree to these terms.

Citi Wide Merchant Funding

300 Carnegie Center
Princeton, NJ 08540