Authorization

Please read the below statements carefully. Before submitting the application, you must e-sign. 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. 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 Institute Capital, Inc. (“ICAP”), its successors and/or assigns, to obtain the Business’s credit information from an outside service provider in consideration of a loan application submitted on behalf of the Business. The Business further authorizes ICAP to periodically obtain the Business’s credit information from an outside service provider if the application results in an outstanding loan with ICAP. 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, Privacy Policy, Use of Financial Data

The undersigned agrees that they have reviewed ICAP's terms of use, the loan application privacy policy and its statement on the use of financial data. 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, ICAP is 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. ICAP has requested that the entity which has funded this program treat the applicant's data with the same level of confidentiality that is outlined in our statement on the use of financial data. 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.

Deposit of Grant Proceeds

If approved, I (we) hereby authorize Institute Capital, Inc., to deposit all proceeds for which I (we) are approved at the financial institution named above. I (we) acknowledge that Institute Capital, Inc., 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.

Impact Statement

Business owners agree to provide an impact statement by November 1, 2022, of business accomplishments to include the number of jobs sustained or created.

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