Guarantor Application Form

GUARANTOR APPLICATION FORM

This Guarantor Application Form is executed on Date: by and among Principal Obligor: (the "Obligor"), Guarantor: (the "Guarantor"), and Secured Party: (the "Secured Party").

RECITALS

WHEREAS, Obligor has applied for credit, a lease, or other financial accommodation from Secured Party and Secured Party requires a guaranty as a condition to extending such accommodation; and

WHEREAS, Guarantor has submitted the personal, financial and employment information contained in this application for the purpose of inducing Secured Party to extend credit or other financial accommodation to Obligor; and

WHEREAS, Secured Party has indicated its willingness to grant such accommodation upon receipt of an executed guaranty and satisfactory verification of Guarantor's representations and creditworthiness.

NOW, THEREFORE, in consideration of the foregoing and other good and valuable consideration, the parties agree as follows:

1. DEFINITIONS

For purposes of this Agreement, "Obligations" means all present and future liabilities, indebtedness, obligations and other commitments of any kind of the Obligor to Secured Party, whether direct or indirect, absolute or contingent, and however arising, including without limitation principal, interest, fees, costs and attorneys' fees.

2. GUARANTY

2.1 Guaranty of Payment. Guarantor absolutely, unconditionally and irrevocably guarantees to Secured Party the prompt payment when due of all Obligations. This Guaranty is a guaranty of payment and not merely of collection.

2.2 Scope; Continuing Obligation. This Guaranty is a continuing obligation and shall remain in full force and effect until the full and indefeasible payment and performance of all Obligations. Guarantor's liability is joint and several with Obligor and may be enforced without prior resort to any security or to any remedy against Obligor.

3. GUARANTOR REPRESENTATIONS AND WARRANTIES

Guarantor represents and warrants to Secured Party that: (a) Guarantor's statements and answers in this application are true, complete and correct in all material respects; (b) there is no litigation, proceeding, or claim pending that would have a material adverse effect on Guarantor's ability to perform under this Guaranty; and (c) Guarantor has full power and authority to execute and deliver this Agreement and to perform its obligations hereunder.

4. GUARANTOR INFORMATION

5. BANK AND CREDIT REFERENCES

6. CREDIT AUTHORIZATION

Guarantor expressly authorizes Secured Party and its agents to obtain and review credit reports, employment verifications, banking inquiries, and other information necessary to evaluate the Guarantor's creditworthiness, both now and during the term of this Guaranty.

I consent to credit, employment and reference inquiries as described above.

7. COVENANTS

Guarantor covenants to Secured Party that Guarantor will promptly notify Secured Party in writing of any material adverse change in Guarantor's financial condition, of any bankruptcy or insolvency proceedings, and of any change to Guarantor's principal residence or employment. Guarantor will cooperate with reasonable requests for documentation or verification of financial information.

8. DEFAULT; REMEDIES

Upon the occurrence of any default by Obligor under the Obligations, Guarantor's liability under this Guaranty shall arise and may be immediately enforced by Secured Party without prior demand, notice of acceleration, presentment, protest, or other notice of any kind, all of which Guarantor hereby waives to the fullest extent permitted by law. Secured Party shall have all rights and remedies available at law or in equity, including recovery of attorneys' fees, court costs, and enforcement expenses.

9. NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses below by certified mail, overnight courier, or personal delivery and shall be effective upon receipt.

10. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state identified by Secured Party at the time of acceptance of this application, without regard to conflicts of law principles. The parties submit to the exclusive jurisdiction of the state and federal courts located in that state for any dispute arising out of or relating to this Agreement.

11. ENTIRE AGREEMENT

This Agreement, together with any schedules or written guaranty instruments executed in connection herewith, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral, relating thereto.

12. SEVERABILITY

If any provision of this Agreement is held to be invalid or unenforceable, the remainder of this Agreement shall remain in full force and effect and such invalid or unenforceable provision shall be reformed only to the extent necessary to make it enforceable.

13. AMENDMENT; WAIVER; COUNTERPARTS

No amendment, modification or waiver of any provision of this Agreement shall be effective unless in writing and signed by the party against whom enforcement is sought. No failure or delay by Secured Party in exercising any right shall operate as a waiver thereof. This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.

14. CERTIFICATION

Guarantor certifies under penalty of perjury that the information provided in this Application Form is true, correct and complete to the best of Guarantor's knowledge, and acknowledges that Secured Party will rely on such information in deciding to extend credit or other accommodation to Obligor. Guarantor further agrees to notify Secured Party promptly of any change in the information supplied herein.

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