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40 <br />4D <br />Fax to: FRIENDS OF VERO BEACH PUBLIC Fax Numbert 3193787671 Date: 01/29/99 <br />Please explain why you need this transfer to take place: <br />Authorization <br />I hereby provide my authorization to investigate the references herein listed <br />or statements or other data obtained from me or from any other person <br />pertaining to my credit and financial responsibility, <br />X <br />Signature/Title <br />Printed Name Date <br />If your application for business credit is denied, you have the right to a <br />written statement of the specific reasons for the denial. To obtain the <br />statement, please contact us within 60 days from the data you are notified of <br />our decision. To obtain a statement please contact credit operations at the <br />address below within 60 days from the date you are notified of our denial, <br />We will send you a written statement of reasons for the denial within 30 days <br />of receiving your request for the statement. <br />Please forward documents and inquiries to: COMMERCIAL. EQUIPMENT LEASiN & <br />Attn: Portfolio Support <br />Lao Box 3083 <br />Cedar Rapids, IA 52406-3083 <br />ECOA Notice <br />The federal Equal Credit Opportunity Act prohibits creditors from <br />discrimination against credit applicants on the basis of race, color, religion, <br />national origin, sex, marital status, age (provided the applicant has the <br />capacity to anter into a binding contract), because all or part of the <br />applicant's income derives from any public assistance program. or because <br />the applicant has in good faith exercised any right under the Consumer credit <br />Protraction Act, The federal agency that administers compliance with this law <br />is the Federal Trade Commission, Equal Credit Opportunity, Washington, <br />DC 20580 <br />