I certify that the information recorded in Section H(Parts 1 & 2) to be true and correct. I, the undersigned, consent to the obtaining of such information by the SLB from any credit reporting agency or the source as the SLB may require at any time in connection with the credit hereby applied for and to the disclosure of any informaiton concerning the undersigned to any credit reporting agency or to any person wit whom the undersigned has or proposed to ahve financial relations.


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Signature of Principal Borrower(Print)   Date

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Signature of Witness   Date

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