1 .Customer List - Please provide Customer Name, Address, Phone Number & Credit Limit

2. Copy of voided business check

3. Copy of MC Authority and copy of Insurance Certificate (Liability & Cargo)

4. Articles of Incorporation and DBA

5. Copy of Owner's driver license (in color)

6. Sample Invoice, Bill of Lading & Rate Confirmation

I understand that the submission of this application to Power Funding indicates my intention to enter into a Security Agreement with Power Funding but does not obligate Power Funding to factor/finance or provide any financial services whatsoever. I further acknowledge that the approval to factor/finance or provide financial services may come only after the manager of Power Funding approves said application and invoices/account offered, in accordance with the terms of Power Funding's Security Agreement. The above statements are true and correct to the best of my information and belief. This serves as my permission for the release of any information to Power Funding regarding this application for the purpose of credit investigation. I hereby authorize Power Funding to investigate the credit of all parties listed above. I also hereby authorize Power Funding to contact our customers to verify the invoices submitted for factoring.