Spanish Credit Application Form:

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INFORMACION DEL CLIENTE

Top 5 Customers - Name and Annual volume $:

Tipo de Negocio: (seleccione de la lista)

INFORMACION PROPIETARIA

Reference information

INFORMACION DEL EQUIPO

Status del equipo

ESTRUCTURA FINANCIERA

APPLICANT HEREBY AUTHORIZES MAKINO, INC. AND ITS AGENTS (1) TO OBTAIN MORE CREDIT INFORMATION ABOUT THE COMPANY AND ITS PRINCIPLES AND TO MAKE INQUIRIES IN CONNECTION WITH THIS APPLICATION; (2) TO SHARE CREDIT INFORMATION WITH MAKINO AFFILIATES AND AGENTS AS WELL AS, APPLICANTS OTHER CREDITORS, BUREAUS AND PERSONS WHO HAVE OR EXPECT TO HAVE FINANCIAL DEALINGS WITH THE APPLICANT OR ITS PRINCIPALS NAMED ABOVE; (3) TO SHARE COLLECTION OF INFORMATION WITH APPLICANTS AND OTHER CREDITORS. ALL THE INFORMATION IN THIS APPLICATION IS TRUE, COMPLETE AND CORRECT. THE PERSONS WHO CHECKED "YES" ON BEHALF OF APPLICANT ARE AUTHORIZED TO MAKE THIS APPLICATION ON ITS BEHALF AND AGREE TO THE FOREGOING.

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