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Creditor’s Name: Macrolease Corporation
Creditor’s Address: 185 Express Street, Suite 100, Plainview, New York 11803

If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Macrolease Corporation within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, natural origin, sex, martial status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this new law concerning this creditor is Federal Reserve Consumer Help Center, P.O. Box 1200 Minneapolis, MN 55480

I represent that all information provided with this Application is true and correct and hereby authorize Macrolease Corporation to obtain from third parties information it deems necessary to arrive at a decision regarding this Application. To help fight terrorism and money laundering, the information will be verified. As principal of and/or guarantor for the Applicant, I authorize Macrolease Corporation, its designee, assigns or potential assigns, to review my personal credit profile provided by a national credit bureau in considering this Application and for the purpose of update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. I authorize all deposit, borrowing, financial and trade information to be released to Macrolease Corporation, its designee, assigns or potential assigns by telephone or fax. A photocopy or fax of this authorization shall be valid as the original.

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Macrolease Corporation

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