Everything that I/we have stated in this application is correct and to the best of my/our knowledge. I agree to notify you of any material change(s) in my financial condition. By checking this box, each undersigned individual(s), who is either a principal of the credit applicant listed or a personal guarantor of its obligations, provides electronic instruction to DOTmed or its designee (and any assignee or potential assignee thereof) authorizing review of their personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A photostat or facsimile copy of this authorization shall be as valid as the original.

By assigning electronic permission, I/we affirm my/our identity as the individual(s) identified in this online application. I/we hereby authorize our banks, trade references and financial institutions the right to release credit information to the lessor.