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The undersigned: (1) Certifies that the information
supplied on this application is true; (2) As the principal(s) of and
guarantor(s) for the applicant, authorizes First Capital Funding
Corporation, and its designee's, to review his/her personal credit
profile and to updating credit in the future; (3) Certifies that the
financing sought will be used for business purposes and not for personal
family or household purposes; (4) Authorizes all parties set forth above
to release credit information by a verbal authorization, fax copy, or
electronic submission of this document. If your application for business
credit is denied, you have the right to a written statement of the
reasons for the denial. To obtain the statement please contact First
Capital Funding Corporation at 3175 Starbright Court, Suite D,
Middleburg, FL 32068 within 60 days from the date you are notified of
our decision. The federal Equal Credit Opportunity act prohibits
creditors from discriminating against credit applicants on the basis of
race, color, religion, national origin, sex, marital status, age,
because all or part of the applicant's income derives from any public
assistance program; or because the applicant has exercised any right
under the Consumer Credit Protection Act. The federal agency that
administers this law concerning the creditor is the Federal Trade
Commission, Equal Credit Opportunity, Washington DC 20580.
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