(Must be signed by Principal Owner of Agent, Any Owner of 10% or more of Agent and Guarantor)
By signing below, I, on behalf of myself (and solely with respect to the Principal Owner of Agent on behalf of the Agent) hereby authorize BillMo LLC and their agents and affiliates (collectively, "BillMo LLC") to make periodic investigative background inquiries concerning me, Agent and Agent’s principals (as applicable), including investigating my business/personal credit, financial, educational, driving, military, prior employment and criminal history records and those of the Agent and its principals and to make inquiries from any and all credit/trade/personal/business sources (including banks, credit card companies, credit reporting agencies, business associates, governmental authorities and any other source who may have knowledge regarding me, Agent or its principals) in connection with this application. I acknowledge that a background investigative consumer report may contain information on my character, general reputation, personal characteristics, or mode of living, all or part of which is obtained through personal interviews with neighbors, friends, associates and acquaintances who may have knowledge concerning any such items of information. I understand that before adverse action can be taken against me in whole or in part due to the results of the above-referenced consumer report or investigative consumer report, such report(s) will be provided to me with a written summary of my rights under the Fair Credit Reporting Act, as amended. I further understand that I may have additional rights under applicable state law. I further understand that under IBillMo LLC procedure, BillMo LLC may terminate any agreement if the results of any background check are not satisfactory to BillMo LLC in its sole discretion. I hereby authorize all corporations, companies, credit agencies, educational and military institutions, persons, law enforcement agencies, criminal civil and federal courts, and governmental agencies to release and forward to BillMo LLC any and all information, references and records sought in connection with any request by BillMo LLC for a reference. I and Agent further authorize BillMo LLC to share the information received from any source with BillMo LLC’s parent entity and affiliates. Upon request BillMo LLC will tell me whether consumer credit reports were requested and, if so, the name and address of the consumer credit reporting agency that furnished the reports. Agent and each of the persons signing below hereby release BillMo LLC and its agents, parent entities, subsidiaries and affiliates from any and all liabilities, claims or suits regarding the investigation, inquiries, consumer reports and information obtained from any and all sources.