The undersigned agrees that:
Borrower consents to receiving:
through electronic means including email and secure portals.
Borrower may withdraw such consent only after all Obligations have been fully satisfied.
Borrower: ______________________________________________
Authorized Representative: ______________________________
Signature: ____________________________________________
Date: ________________________________________________
CARE CASH GLOBAL (“CCG”) may collect non-public information concerning Borrower and Guarantors including:
Such information may be shared with:
to the extent reasonably necessary for underwriting, servicing, compliance, collections, and administration.
CCG does not sell customer information to third parties for marketing purposes.
Borrower acknowledges receipt of this Privacy Notice.
Borrower Signature: ____________________________________
Date: ________________________________________________
Business Name: _______________________________________
Entity Type: _________________________________________
Federal Tax ID: ______________________________________
Beneficial Owner #1
Name: _______________________________________________
Title: ______________________________________________
Ownership Percentage: ________________________________
Date of Birth: ______________________________________
Address: ____________________________________________
Beneficial Owner #2
Name: _______________________________________________
Title: ______________________________________________
Ownership Percentage: ________________________________
Date of Birth: ______________________________________
Address: ____________________________________________
Individual primarily responsible for management and control:
Name: _______________________________________________
Title: ______________________________________________
The undersigned certifies that the information provided is true and complete.
Authorized Representative: ______________________________
Signature: ____________________________________________
Date: ________________________________________________
CCG may require evidence of insurance for facilities exceeding underwriting thresholds established by Lender.
Requested coverage may include:
Insurance Carrier: ____________________________________
Policy Number: _______________________________________
Coverage Limits: _____________________________________
Expiration Date: _____________________________________
Borrower agrees to provide updated certificates upon renewal or replacement of policies.
Borrower Signature: ____________________________________
Date: ________________________________________________
By: Gonzalo De Vertiz
Title: CEO
Signature: ____________________________________________
Date: ________________________________________________