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Dealer

Transaction

Borrower 1 ( Primary Applicant )

Mortgage holder

Employment details

Disclaimer:

The Borrower(s) hereby authorize Jocova Financial Services Corporation and any of its representatives, affiliates, or partners to collect, use and disclose my personal information for the purposes of investigating and providing financial services. I have been informed by Jocova Financial Services Corporation or its partners, affiliates or representatives, that my personal information is collected, used and disclosed for the following purposes:

(1) to collect credit and related financial information from me, from credit agencies, and from any parties listed herein,

(2) to use the information collected to determine my financial situation, to provide financial services I have requested and to offer additional products and services of Jocova Financial Services Corporation that may be of benefit to me,

(3) to share the information with assignees, bankers or funding partners of Jocova Financial Services Corporation,

(4) to share the information collected and any information on my dealings with Jocova Financial Services Corporation credit agencies or other financial institutions.

Further, I specifically acknowledge that Jocova Financial Services Corporation may assign this agreement and any related agreements in whole or in part from time to time and I agree that any personal information collected in relation to this agreement may be made available to any such proposed assignee. The applicant further verifies that the use of equipment will be solely for personal use; no commercial use.

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