Qualified Commercial

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Your company

Company legal name

Entity type (e.g. LLC, corporation)

State of formation

Principal place of business (address)

Notice contact

Where Qualified Commercial should send legal notices under this Agreement.

Attn (name/title)

Address line 1

Address line 2 (city, state, ZIP)

Notice email

Copy to counsel (optional)

Certifying officer

The officer certifying Schedule A's disclosure of existing capital relationships on behalf of the company.

Officer name

Officer title

Effective date

Sign

Type your full legal name

I consent to use electronic records and signatures under the U.S. E-SIGN Act and UETA, and I agree to the terms above on behalf of the company identified. I understand I may request a paper copy of this signed agreement at any time by contacting support@qualifiedcommercial.com, and that I may withdraw consent to electronic records prospectively through that same address.

Draw your signature