I/We certify, for the purpose of inducing Specialty Lenders, Ltd. to grant credit applied for herein, that all statements made in this credit application are true and correct, and I/We authorize Specialty Lenders, Ltd. to investigate and obtain such additional credit information as it may deem necessary or desirable in evaluation of my/our credit for the purposes of this application and in the future on an as-needed basis.

This application is submitted to obtain a loan by the undersigned licensee represented by its corporate officers, said loan to be used for the purchase of a license, consolidation of debts, and/or remodeling. The applicant represents that they are, or are in the process of, owning a Restaurant Liquor License, Eating Place Dispenser License, Hotel License, Distributor License, and/or Importing Distributor license.

I authorize the Departments of Revenue, the Department of Labor & Industry, and the Allegheny County Treasurer’s Office to disclose, verbally and/or in written form, all tax filing and tax payment information under the jurisdiction of these respective departments to Specialty Lenders, Ltd.

I/We understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the Electronic Disclosure and Electronic Signature Agreement

This is not a commitment to make a loan, nor should it be construed as lending advice. Loans are subject to borrower qualifications.