By the consent below, you give Mountain BizWorks authorization to obtain a credit report using the information provided above. Such authorization shall extend to obtaining a credit file in considering the application of the credit applicant and subsequently for the purposes of update, renewal or the extension of such credit and for reviewing and collecting the resulting account, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.

By checking the box below, Applicant certifies that the proceeds of any loan made as a result of this application will be used for business or organizational purposes only, and will not be used for personal or consumer purposes. Applicant hereby affirms that he/she does not discriminate on the basis of race, color, religion, national origin, gender, marital status, or age. Applicant hereby acknowledges that (1) no loan officer has authority to commit Mountain BizWorks (MBW) to any loan without prior approval of the MBW CEO and (2) any loan commitment must be in writing and signed by an authorized representative of MBW. MBW is authorized to make all inquiries MBW deems necessary to verify the accuracy of this statement and to determine the creditworthiness of the business or organization. Applicant authorizes MBW to answer questions and inquiries from others seeking credit experience information about the business or organization.

In accordance with Federal law and U.S. Department of Agriculture policy, Mountain BizWorks is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, sex, and familial status. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).

Applicant certifies to Mountain BizWorks that (1) all information provided to MBW is correct and accurate, and can be relied upon by MBW, and (2) MBW is authorized to verify or confirm any of the information given, check with credit and personal references, and obtain credit reports in connection with this application and/or review of any facility approved by MBW. Applicant gives permission to all creditors and references to give MBW any information it needs to make a decision in approving a loan facility.