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Acknowledgement and Authorization: In submitting this form, you certify that the above information is accurate and complete and you acknowledge receipt of, and consent to the credit report authorization and ECOA notification set forth below.





Consent to Use of a Consumer Credit Report: The undersigned individual(s), recognizing that his or her

personal credit history is a factor in the evaluation of the credit history or credit worthiness of Applicant, hereby

authorizes OzarkLand.com and its successors and assigns to obtain and use consumer credit reports pertaining to the undersigned's credit history and/or credit worthiness from any credit reporting agency from which OzarkLand.com receives such reports, in connection with the Applicant's application for the extension of credit by OzarkLand.com.

In connection with any such application for credit, the undersigned further agrees that OzarkLand.com's permission to obtain a consumer credit report on the undersigned shall be ongoing and shall relate not only to the evaluation and/or extension of the credit requested, but also for purposes of reviewing the account, and for any other legitimate purpose associated with the account as may be needed from time to time. The undersigned further waives any right or claim which the undersigned may otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.

ECOA Notice: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit

applications on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant

has the capacity to enter into a binding contract); because all or part of the applicant92s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, D.C., 20580. If your application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain the statement,

please contact OzarkLand.com within sixty (60) days from the date you are notified of our decision. OzarkLand.com will send you a written statement of reasons for the denial within thirty (30) days of receiving your request for the statement.