Application

Business Information

Entity Type:

Business Physical Address

Mailing Address (if different than above)

Owner Information

By executing this application, the undersigned person certifies to the following: The information set forth in this application and in the documents, schedules, reports, statements, and any other information provided to Pavestone Capital LLC (“Pavestone”) with or pursuant to this application are full, true, correct, complete, and accurately reflect  such information on the date thereof; that Pavestone is authorized to request, receive, and verify credit reports and other financial information regarding applicant and its business that Pavestone deems necessary and appropriate; that Pavestone is authorized to execute in the name of the undersigned person and file against the undersigned person in favor of Pavestone, financing statements with respect to the undersigned person’s assets; and that Pavestone is authorized to inquire of, investigate, confirm, and verify any information contained in the application, in any documents, schedules, reports, statements, and any other information provided under or pursuant to this application, or learned by Pavestone as part of its investigation and review of this application, applicant, or applicant business. Applicant agrees to reimburse Pavestone for any and all costs incurred by Pavestone as a result of applicants withdrawal of this application prior to the first funding.

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