Authorization

Please read the below statements carefully. Before submitting the application, you must e-sign with your mouse (if on a computer) or with your finger (if on a tablet or cell phone). By signing the application, you indicate you have read/agreed to the below and that all information you have provided is true and accurate to the best of your knowledge, and absent of any material defect. This agreement is in effect as of the signed date.

Business Credit Release Authorization

By signing this Business Credit Release Authorization (“Authorization”) the undersigned duly authorized representative of the subject entity (“Business”) identified herein hereby authorizes I-CAP, its successors and/or assigns, to obtain the Business’s credit information from an outside service provider in consideration of a grant application submitted on behalf of the Business. This Authorization shall be effective as of the date this Authorization is executed and shall henceforth remain effective. The undersigned further warrants that he or she is a duly elected party qualified and authorized to execute and deliver this Authorization on the behalf of the Business.

Terms of Use

By signing this application, the undersigned acknowledges that they are applying for assistance which is fully or partially funded by a North Carolina public entity. As part of its contractual obligations, I-CAP may be required to send personally identifiable information to the government entity which has funded this program. North Carolina's public records laws (N.C.G.S. Section § 132-6) require that data transmitted to public entities is subject to records requests from external third parties. I-CAP has requested that the entity which has funded this program treat the applicant's data with the highest level of confidentiality. In submitting this application, the undersigned acknowledges that their information may be made available through public records requests in a way that is personally identifiable.

By signing below the undersigned agrees and certifies they will comply with the requirements of the grant. Grant recipients shall be permitted to use grant funds solely for legitimate business expenses, including but not limited to: working capital, lease payments, existing real estate and equipment financing payments, and for covering payroll shortages. As a condition precedent to receipt of grant funds, grant recipients certify in writing that they will comply with all the requirements and use of funds only as permitted.

Deposit of Grant Proceeds

If approved, I (we) hereby authorize I-CAP to deposit all proceeds for which I (we) are approved at the financial institution named above. I (we) acknowledge that I-CAP cannot be held responsible if I (we) have provided incorrect bank information, and that incorrect information may substantially impede the processing time of any disbursements.

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