Please Authorize:
* The undersigned applies for the lease indicated in this application. Everything
stated in this application is correct. TimePayment Corp. may retain the application
whether or not the lease is approved. TimePayment Corp. and its Authorized Affiliates
are authorized to check my credit and employment history for the purposes of determining
my credit worthiness at the time of my application or thereafter in connection with
the same transaction or extension of credit and for the further purpose of reviewing
the account.