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Date : __________________________

To Whom It May Concern:

I am authorizing EQGRANT LENDING CORP., to conduct the following checking as may deem
necessary for my Business Loan application:

A. Residence Verification

B. Business Verification

C. Trade Reference checking

D. Bank Checking Bank/Branch ________________________

Account No. ________________________

Savings/Current ________________________

Thank you very much!

___________________________

SIGNATURE OVER PRINTED NAME

Verified by: __________________________

Signature over Printed Name/Date

Position: ___________________________

Contact Number: ____________________

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