In the event that I am seeking approval of a Referral Program Dealer, I hereby authorize and consent to TimePayment Corp. (hereinafter, "TPC") and its affiliates, regarding both the said Referral Program Dealer application, along with any resulting Customer account application, to investigate and/or obtaining credit reports, employment history, trade references and other information – including information that would validate the authenticity of the Referral Program Dealer’s bank account, which I have permission to provide to TPC for the purpose of TPC funding the approved equipment lease, equipment rental, or transactions.
I hereby certify that the information provided above is true and I agree to indemnify and hold TPC harmless from any and all damages, losses and liabilities incurred or suffered as a result of, or incident to, any action by persons other than TPC's employees. I also agree to use the system only for its stated purpose and that failure to do so may result in the immediate termination of my company's access to TimePayment InfoHub.
I hereby warrant and represent that: (a) When I, or my Authorized Users, receive signed applications for prospective TPC equipment lessees or equipment renters, (all herein referred to as, Customers), such customers credit applications shall authorize TPC to perform a credit check on those Customers and (b) to the best of my knowledge, the information provided in the Customer credit application shall not be false, inaccurate, or misleading.
Adopt this typed representation of my name and title as my signature.