Loan Application

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Page 2

Personal Information

First Name

Last Name

Social Security Number

Date of Birth

Email Address

Cell Phone No

Position

Are you 100% Owner?

Ownership Percent

Home Address

Street

City

State

Zip Code

Other Owner Information

First Name

Last Name

Social Security Number

Date of Birth

Email Address

Cell Phone No

Position

Ownership Percent

Home Address

Street

City

State

Zip Code

Page 3

Collateral Description

Type of Collateral

Describe Collateral

Application Narrative

Please use this space for any additional comments or explanation of your request for funding:

Page 6

Applicant Signature & Information Sharing

For purpose of establishing and maintaining credit, the undersigned submits the foregoing statement and information contained on this Loan Application, both written and printed, and including supplemental sheets, if any, as being a full, true, and correct statement of the applicant's financial condition and all above matters, on the date stated. The undersigned agrees to notify Entre Capital, LLC (Entre) immediately in writing of any materially unfavorable change in financial condition of the above matters, and in the absence of such notice or a new and full written statement, all matters herein may be considered as a continuing statement substantially correct. Undersigned further agrees that any property securing the loan or credit will not be used for any illegal or restricted purpose. The undersigned hereby authorizes Entre to inquire into, request, and receive any information concerning his/her character, general reputation, personal characteristics, and all information from creditors and credit bureaus that Entre deems relevant for granting and collection of the proposed borrowing. Undersigned applicant understands that Entre may share credit information, operating reports and other financial information with its affiliates and partner financial institutions. This authorization shall be effective from the date that this application is submitted and shall be extinguished automatically upon payment of the present borrowing, if any is granted. Upon my written request, additional information as to the scope of this inquiry will be provided.

Entre complies with Section 326 of the USA Patriot Act. This law mandates that we verify certain information about the applicant(s) while processing this account application. To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that's identifies each person who opens an account. What this means for your name, address, date of birth, and other information that allows us to identify you. We may also ask to see your driver's license or other identifying documents.

By signing below, each applicant (and co-applicant, if any) agrees to be contractually liable for repayment of the loan.

Applicant Name (Print)

Signature

Date

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